Active NPI
Kristen Marie Riley, CCC/SLP
- Speech-Language Pathologist
- Rocky Mount, VA
National Provider Identifier
1669985107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2203000593
- Practice address
- 25 Bernard Rd
Rocky Mount, VA 24151-6614 - Phone
- (540) 483-5138
- NPI assigned
- Nov 7, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2203000593 | VA | Primary |
Addresses
Primary practice location
25 Bernard Rd
Rocky Mount, VA 24151-6614
Mailing address
1625 Leaning Oak Rd
Boones Mill, VA 24065-3591
Phone (540) 243-1038
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2203000593 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510012800000",
"number": "1669985107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 LEANING OAK RD",
"city": "BOONES MILL",
"state": "VA",
"postal_code": "240653591",
"telephone_number": "540-243-1038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 BERNARD RD",
"city": "ROCKY MOUNT",
"state": "VA",
"postal_code": "241516614",
"telephone_number": "540-483-5138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "KRISTEN",
"middle_name": "MARIE",
"credential": "CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-07",
"last_updated": "2017-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2203000593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, VA
- Troy Douglas Ray, CRNA
- Anita Register, D.O.
- Remedy Transportation, Inc.
- Rene N. Vamenta, M.D. (Children's Clinic)
- Andrea Suzette Reynolds, LCSW
- Kristn D. Roberts, D.D.S.
- Rocky Mount Chiropractic Inc
- Rocky Mount Family Pharmacy (Family Pharmacy #4)
- Rocky Mount Family Pharmacy (Family Pharmacy #4)
- Rocky Mount Health & Rehab Center, LLC (Rocky Mount Health & Rehab Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.