Individual provider Active NPI

Riley Kathleen Hordon

  • Family Nurse Practitioner
  • Cottonwood, AZ
National Provider Identifier
1467222174
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
302912 Issued in AZ
Practice address
203 S Candy LN Ste 13Ab
Cottonwood, AZ 86326-4120
Phone
(928) 649-1389
NPI assigned
Jan 3, 2024
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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 302912 AZ Primary

Addresses

Primary practice location

203 S Candy LN Ste 13Ab
Cottonwood, AZ 86326-4120

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Other practice location 1

12075 E State Route 69 Ste B
Dewey, AZ 86327-4569
Phone (928) 772-1673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240308000164 AZ Practitioner - Family Practice 3476999822 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

203 S Candy LN
Suite 13Ab
Cottonwood, AZ 86326-4120
Phone (928) 649-1389

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prescott Healthcare Solutions LLC Family CurrentSince Feb 26, 2024 Accepting new patients
Greater Phoenix Collaborative Care PC Past Accepting new patients

Locations

12075 E State Route 69
Dewey, AZ 86327
Phone (928) 404-1488

12075 E State Route 69
Ste B
Prescott Valley, AZ 86327
Phone (928) 772-1673

3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583

Interoperability endpoints

  • Direct secure messaging: rhordon229960@westdirect.optum.com

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1467222174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S CANDY LN STE 13AB",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264120",
            "telephone_number": "928-649-1389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12075 E State Route 69 Ste B",
            "address_purpose": "LOCATION",
            "city": "Dewey",
            "state": "AZ",
            "postal_code": "863274569",
            "country_code": "US",
            "telephone_number": "928-772-1673",
            "fax_number": "928-772-1674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORDON",
        "first_name": "RILEY",
        "middle_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "302912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

Verify at the official NPI Registry.