Latricia Sandau Riley, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3010223 Issued in KY

Practice address

615 7TH Ave
Bowling Green, KY 42101-6921

Phone

(270) 783-3573

NPI assigned

Apr 6, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Graves Gilbert Clinic PLLCGroup PAC ID 4082511167, 207 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: latriciariley@ggc.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Graves Gilbert Clinic PLLC

  • Specialist
  • Bowling Green, KY
  • NPI 1114948288
  Medicare reassignment Care Compare group NPD
• Bowling Green Warren County Primary Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bowling Green, KY
  • NPI 1336268234
  Medicare reassignment NPD
• Graves Gilbert Clinic PLLC

  • Rural Health Clinic/Center
  • Cave City, KY
  • NPI 1104635663
  NPD

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1659735645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615-7TH AVENUE",
            "address_2": "PO BOX 1177",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421021177",
            "telephone_number": "270-783-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 7TH AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421016921",
            "telephone_number": "270-783-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "LATRICIA",
        "middle_name": "SANDAU",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100410770",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riley White, Inc
• Riley-White Inc
• Riley-White, Inc.
• Amber Lynn Riley, APRN
• Donald Glenn Riley, RPH.
• Robert Shane Riley, D.O.
• Jenna Michelle Rinicker
• Allison Megan Rinne, OTR/L
• Cally Rippy, CCC SLP
• Kaitlyn Skye Rippy, AU.D.

• Family Nurse Practitioner in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.