Angela Deanise Riley, FNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

AP137184 Issued in TX

Practice address

3043 Gessner Rd
Houston, TX 77080-1000

Phone

(713) 939-7272

NPI assigned

May 14, 2018

Last updated

May 14, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Angela Deanise Pruitt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1366932543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 N MISSION CIR",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465993",
            "telephone_number": "832-723-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3043 GESSNER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770801000",
            "telephone_number": "713-939-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "ANGELA",
        "middle_name": "DEANISE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP137184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "PRUITT",
            "middle_name": "DEANISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Keele Riles, P.A.
• Rachel Riles
• Stephanie Riles, RD, LD
• Akwete Riley, CCC-SLP
• Andrea Elizabeth Riley, RN
• Ashley Nicole Riley, LVN
• Bobby L Riley, D.C.
• Bonnie Riley
• Carolyn Ann Riley
• Cordelia Riley, PHYSICAL THERAPIST

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.