Elaina Marie Riley, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

4704300050 Issued in MI

Practice address

43097 Woodward Ave Ste 201
Bloomfield Hills, MI 48302-5043

Phone

(248) 454-9000

Fax

(248) 581-8707

NPI assigned

Dec 20, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pediatric Specialists of Bloomfield Hills,P.C

  • Pediatrics Physician
  • Bloomfield Hills, MI
  • NPI 1023197357
  NPD (past)

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1396251872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3226 HIDDEN TIMBER DR STE A",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483591598",
            "telephone_number": "248-499-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43097 WOODWARD AVE STE 201",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025043",
            "telephone_number": "248-454-9000",
            "fax_number": "248-581-8707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3226 Hidden Timber Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Lake Orion",
            "state": "MI",
            "postal_code": "483591598",
            "country_code": "US",
            "telephone_number": "248-499-6630",
            "fax_number": "248-581-8707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "ELAINA",
        "middle_name": "MARIE",
        "credential": "PNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-20",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "4704300050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy Rice, MA, JD
• Rick Siegel D.P.M.,P.C.
• Rick Siegel DPM PC
• Ride Aid Inc (Ride Aid Transportation)
• Erica Riger
• Richard Riley, DDS
• Rise Psychiatric Services
• Rishi Rehabilitation LLC
• Lydia Orlene Rising, PA-C
• Rite Aid of Michigan Inc (Rite Aid Pharmacy 04377)

• Pediatric Nurse Practitioner in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Pediatric Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.