Individual provider Active NPI

Linda Ann Riley

  • Speech-Language Pathologist
  • Berlin, MD
National Provider Identifier
1619503851
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
02698 Issued in MD
Practice address
6 Pelican CT
Berlin, MD 21811-1864
Phone
(410) 294-8998
NPI assigned
Mar 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2024 WV
Speech-Language Pathologist 235Z00000X 1203 NH
Speech-Language Pathologist 235Z00000X 3797 MA
Speech-Language Pathologist 235Z00000X 02698 MD Primary

Addresses

Primary practice location

6 Pelican CT
Berlin, MD 21811-1864

Mailing address

300 Parkway Ave
Bluefield, WV 24701-4143
Phone (410) 294-8998

Other practice location 1

300 Parkway Ave
Bluefield, WV 24701-4143
Phone (410) 294-8998 ext. 41029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1203NHMDClinical Social Worker
3797MAMDOccupational Therapy Assistant
02698MDMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1619503851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PARKWAY AVE",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247014143",
            "telephone_number": "410-294-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PELICAN CT",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111864",
            "telephone_number": "410-294-8998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Parkway Ave",
            "address_purpose": "LOCATION",
            "city": "Bluefield",
            "state": "WV",
            "postal_code": "247014143",
            "country_code": "US",
            "telephone_number": "410-294-8998 x41029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "LINDA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "2024",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "1203",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "3797",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "02698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.