Active NPI
Carolyn M Riegle, M.D.
- Specialist
- Norfolk, VA
National Provider Identifier
1437107166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0101041341
- Practice address
- 1909 A Granby St
Norfolk, VA 23517 - Phone
- (757) 640-0022
- Fax
- (757) 627-8064
- NPI assigned
- May 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0101041341 | VA | Primary |
Addresses
Primary practice location
1909 A Granby St
Norfolk, VA 23517
Mailing address
1909 A Granby St
Norfolk, VA 23517
Phone (757) 640-0022
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13786 | Other | VA | OPTIMA |
| 331434 | Other | VA | ANTHEM |
| 006717292 | Medicaid | VA |
Other names 1
- Dr. Carolyn M Riegle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101041341 | VA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355270400000",
"number": "1437107166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1909 A GRANBY ST",
"city": "NORFOLK",
"state": "VA",
"postal_code": "23517",
"telephone_number": "757-640-0022",
"fax_number": "757-627-8064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1909 A GRANBY ST",
"city": "NORFOLK",
"state": "VA",
"postal_code": "23517",
"telephone_number": "757-640-0022",
"fax_number": "757-627-8064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIEGLE",
"first_name": "CAROLYN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2012-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "0101041341",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "13786",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "331434",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006717292",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLYN",
"last_name": "RIEGLE",
"middle_name": "M",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.