Active NPI
Riley Sharbonno, APRN, CNP
- Family Nurse Practitioner
- Robbinsdale, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 6436
- Practice address
- 3300 Oakdale Ave N
Robbinsdale, MN 55422-2926 - Phone
- (763) 559-2171
- NPI assigned
- Oct 27, 2016
- Last updated
- Dec 29, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 6436 | MN | Primary |
| Emergency Registered Nurse | 163WE0003X | R157123-7 | MN |
Addresses
Primary practice location
3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Mailing address
2800 Campus Dr Ste 10
Plymouth, MN 55441-8812
Phone (763) 559-2171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R157123-7 | MN | MD | Emergency Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Imaging, LLC | Current | Accepting new patients | |
| Minneapolis Radiology Associates, LTD. | Current | Accepting new patients | |
| Minnesota Diagnostic Imaging Partners, LLC | Current | Accepting new patients |
Locations
9855 Hospital Dr
Ste 150
Maple Grove, MN 55369
Phone (763) 398-6341
2800 Campus Dr
Ste 10
Plymouth, MN 55441
Phone (763) 398-4400
2800 Campus Dr
Ste 20
Plymouth, MN 55441
Phone (763) 398-8700
2800 Campus Dr
Ste 30
Plymouth, MN 55441
Phone (763) 398-2203
3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048
Organizations & group practices 3
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.
-
- Diagnostic Radiology Physician
- Robbinsdale, MN
- NPI 1871594341
-
dba Maple Grove Imaging Center
- Diagnostic Radiology Physician
- Maple Grove, MN
- NPI 1922009471
-
dba Minneapolis Radiology-Robbinsdale
- Diagnostic Radiology Physician
- Plymouth, MN
- NPI 1053311399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609200000000",
"number": "1710439401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 CAMPUS DR STE 10",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554418812",
"telephone_number": "763-559-2171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 OAKDALE AVE N",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "554222926",
"telephone_number": "763-559-2171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARBONNO",
"first_name": "RILEY",
"credential": "APRN, CNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-27",
"last_updated": "2020-12-29",
"certification_date": "2020-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "6436",
"primary": true
},
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "MN",
"license": "R157123-7",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Robbinsdale, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.