Debra L Riley, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3001880 Issued in KY

Practice address

83 Wellness Way
Benton, KY 42025-7156

Phone

(270) 527-0045

Fax

(270) 527-0075

NPI assigned

Aug 5, 2008

Last updated

Feb 15, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marshall County Medical Associates

  • Family Medicine Physician
  • Benton, KY
  • NPI 1477605988
  NPD (past)

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455494400000",
    "number": "1427214832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636961",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636961",
            "telephone_number": "513-981-5130",
            "fax_number": "513-981-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 WELLNESS WAY",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420257156",
            "telephone_number": "270-527-0045",
            "fax_number": "270-527-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "DEBRA",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-05",
        "last_updated": "2016-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3001880",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": "3001880",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78001815",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Connor Putney, LCSW
• Chaney Beth Ramage, LMT
• Randon S. Prather, D.M.D., P.S.C. (Gentle Dental Care)
• Karen Diane Reed, LPCC
• Rha Health Services Ky LLC
• Kendra Connell Riley
• Rma - Operating, Inc. (Regional Medical Associates)
• Rma-Operating, Inc.
• Jan C Roberson, LPCC
• Jeana Lee Rodgers, DC

• Family Nurse Practitioner in Benton, KY
• Providers in Benton, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.