Active NPI
Christiuna A Riley, CPT
- Phlebotomy Technician
- Tylertown, MS
National Provider Identifier
1336737477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Practice address
- 30 Dillon Hill Rd
Tylertown, MS 39667-7604 - Phone
- (769) 204-0075
- NPI assigned
- Jan 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | |||
| Phlebotomy Technician | 246RP1900X | Primary |
Addresses
Primary practice location
30 Dillon Hill Rd
Tylertown, MS 39667-7604
Mailing address
1102A Delaware Ave
Pmb2234
McComb, MS 39648-7604
Phone (769) 204-0075
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stat to Go Lab Testing LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Laboratory Technician
- Hattiesburg, MS
- NPI 1467248898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1336737477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102A DELAWARE AVE",
"address_2": "PMB2234",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396487604",
"telephone_number": "769-204-0075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 DILLON HILL RD",
"city": "TYLERTOWN",
"state": "MS",
"postal_code": "396677604",
"telephone_number": "769-204-0075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "CHRISTIUNA",
"middle_name": "A",
"credential": "CPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-05",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tylertown, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.