Marybeth Riley, RN, CADC

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

RN63144 Issued in ME

Practice address

449 Forest Ave
Suite #14
Portland, ME 04101-2029

Phone

(207) 400-0157

NPI assigned

Oct 27, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1679945810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 FOREST AVE",
            "address_2": "SUITE #14",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012029",
            "telephone_number": "207-400-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 FOREST AVE",
            "address_2": "SUITE #14",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012029",
            "telephone_number": "207-400-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "MARYBETH",
        "name_prefix": "Mrs.",
        "credential": "RN, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "CAC4853",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "RN63144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Nightingale Riker, MSN, CPNP-AC/PC
• Joshua Evan Riklan, MD
• Debra E. Riley
• Joseph Riley, LADC
• Keith Riley
• Carmen J Rinaldi, M.D.
• Theodor D Rintel, M.D.
• Michelle Allen Rioux, PT
• Rise Holistic Healing, LLC
• Rise Recovery, LLC

• Addiction (Substance Use Disorder) Registered Nurse in Portland, ME
• Providers in Portland, ME by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.