Individual provider Active NPI

Riley M Terry, AUD

  • Audiologist
  • Las Vegas, NV
National Provider Identifier
1629488846
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A-2488 Issued in NV
Practice address
3120 S Rainbow Blvd Ste 202
Las Vegas, NV 89146-6235
Phone
(702) 233-4327
NPI assigned
Apr 28, 2014
Last updated
Mar 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 5503 NM
Audiologist 231H00000X A-2488 NV Primary

Addresses

Primary practice location

3120 S Rainbow Blvd Ste 202
Las Vegas, NV 89146-6235

Mailing address

2501 Cottontail LN
Somerset, NJ 08873-5125
Phone (732) 529-7120

Other practice location 1

9430 W Lake Mead Blvd Ste 11
Las Vegas, NV 89134-8338
Phone (702) 527-6066

Other practice location 2

6475 N Decatur Blvd Ste 125
Las Vegas, NV 89131-2943
Phone (702) 933-9103

Other names 1

  • Riley M Bass Former name

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
5503NMMDAudiologist
A-2488NVMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Audiology LLC Audiologist Past Accepting new patients
Hearing Associates of Las Vegas, LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1629488846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 COTTONTAIL LN",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735125",
            "telephone_number": "732-529-7120",
            "fax_number": "207-226-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 S RAINBOW BLVD STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466235",
            "telephone_number": "702-233-4327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9430 W Lake Mead Blvd Ste 11",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891348338",
            "country_code": "US",
            "telephone_number": "702-527-6066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6475 N Decatur Blvd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891312943",
            "country_code": "US",
            "telephone_number": "702-933-9103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRY",
        "first_name": "RILEY",
        "middle_name": "M",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NM",
            "license": "5503",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NV",
            "license": "A-2488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RILEY",
            "last_name": "BASS",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.