Individual provider Active NPI

Lorraine Riker, ANPC

  • Family Nurse Practitioner
  • Freehold, NJ
National Provider Identifier
1386618700
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NN04288700 Issued in NJ
Practice address
17 Broad St
Freehold, NJ 07728-1703
Phone
(732) 462-9622
Fax
(732) 780-0014
NPI assigned
Feb 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NN04288700 NJ Primary

Addresses

Primary practice location

17 Broad St
Freehold, NJ 07728-1703

Mailing address

1857 Beach Blvd
Point Pleasant Beach, NJ 08742-5219
Phone (732) 714-2707

Other identifiers 1

IdentifierTypeStateIssuer
7037104MedicaidNJ

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
26NN04288700NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group PastSince Jun 22, 2021 Accepting new patients
Kenneth Faistl, MD,PA PastSince Mar 13, 2009 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1386618700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1857 BEACH BLVD",
            "city": "POINT PLEASANT BEACH",
            "state": "NJ",
            "postal_code": "087425219",
            "telephone_number": "732-714-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 BROAD ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281703",
            "telephone_number": "732-462-9622",
            "fax_number": "732-780-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIKER",
        "first_name": "LORRAINE",
        "name_prefix": "Mrs.",
        "credential": "ANPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NN04288700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7037104",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.