Individual provider Active NPI

Donna Roberson Rike, FNP

  • Nurse Practitioner
  • Tiptonville, TN
National Provider Identifier
1336102714
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN0000083439 Issued in TN
Practice address
768 Everett St
Ste 1
Tiptonville, TN 38079-1608
Phone
(731) 253-3760
Fax
(731) 253-3762
NPI assigned
Apr 7, 2006
Last updated
Aug 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN0000083439 TN Primary

Addresses

Primary practice location

768 Everett St
Ste 1
Tiptonville, TN 38079-1608

Mailing address

768 Everett St
Ste 1
Tiptonville, TN 38079-1608
Phone (731) 253-3760

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN0000083439TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestyle Neurology PC Past Accepting new patients
E Arthur Franklin MD PC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406851200000",
    "number": "1336102714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 EVERETT ST",
            "address_2": "STE 1",
            "city": "TIPTONVILLE",
            "state": "TN",
            "postal_code": "380791608",
            "telephone_number": "731-253-3760",
            "fax_number": "731-253-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "768 EVERETT ST",
            "address_2": "STE 1",
            "city": "TIPTONVILLE",
            "state": "TN",
            "postal_code": "380791608",
            "telephone_number": "731-253-3760",
            "fax_number": "731-253-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIKE",
        "first_name": "DONNA",
        "middle_name": "ROBERSON",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2014-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "RN0000083439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiptonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.