Individual provider Active NPI

Annazette Riley

  • Prosthetist
  • New Bern, NC
National Provider Identifier
1326560137
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
C106913 Issued in NC
Practice address
802 Howell Rd
New Bern, NC 28562-7840
Phone
(252) 621-8653
NPI assigned
Jul 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X C106913 NC Primary

Addresses

Primary practice location

802 Howell Rd
New Bern, NC 28562-7840

Mailing address

1267 Colony Dr
New Bern, NC 28562-4156
Phone (252) 288-9212

Other practice location 1

802 Howell Rd
New Bern, NC 28562-7840
Phone (252) 621-8653

Other practice location 2

102 B St
New Bern, NC 28560-9557
Phone (252) 621-8653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C106913NCMDProsthetist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1326560137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 COLONY DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285624156",
            "telephone_number": "252-288-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 HOWELL RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285627840",
            "telephone_number": "252-621-8653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 Howell Rd",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285627840",
            "country_code": "US",
            "telephone_number": "252-621-8653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 B St",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285609557",
            "country_code": "US",
            "telephone_number": "252-621-8653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "ANNAZETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NC",
            "license": "C106913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.