Jane Alison Riles, DNP-C

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

13184 Issued in TN

Practice address

1501 Brayton Ave
Dyersburg, TN 38024-3158

Phone

(731) 285-4111

Fax

(731) 285-4221

NPI assigned

Jun 4, 2008

Last updated

Jun 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jane Walker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Pediatric Associates, P.C.

  • Specialist
  • Dyersburg, TN
  • NPI 1023024874
  NPD (past)

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1649439654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 BRAYTON AVE",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243158",
            "telephone_number": "731-285-4111",
            "fax_number": "731-285-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BRAYTON AVE",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243158",
            "telephone_number": "731-285-4111",
            "fax_number": "731-285-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILES",
        "first_name": "JANE",
        "middle_name": "ALISON",
        "credential": "DNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-04",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "13184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN NUMBER",
            "identifier": "13184",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "WALKER",
            "credential": "DNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Pediatric Nurse Practitioner in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Pediatric Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.