Shannon C Riley, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11540NP Issued in OH

Practice address

3761 Massillon Rd
Uniontown, OH 44685-7730

Phone

(866) 389-2727

NPI assigned

Jun 15, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1538480462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3761 MASSILLON RD",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857730",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3761 MASSILLON RD",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857730",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2663 Cleveland Ave NW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447093393",
            "country_code": "US",
            "telephone_number": "330-456-5329",
            "fax_number": "330-456-9679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "SHANNON",
        "middle_name": "C",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "11540NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "11540NP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN313408",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3054500",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alex Michael Reodica, MD
• Patrick A Rich, DO
• George Brian Richardson, DC
• Brittany Kay Rife, COTA/L
• Riffat Qadir, M.D., Inc.
• Olivia S Rinehart
• Rite Aid of Ohio Inc (Rite Aid Pharmacy 07712)
• River Root Counseling
• River Root Counseling
• Holly Widder Rivera, COTA/L

• Family Nurse Practitioner in Uniontown, OH
• Providers in Uniontown, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; 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.