RJ Pediatrics LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

RJ PEDIATRICS LLC

Practice address

3955 58TH St N
St Petersburg, FL 33709-6003

Phone

(727) 347-2557

NPI assigned

Jun 18, 2019

Organization subpart

No

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

Authorized official

Name

Roxene Riles, APRNNPI 1518416510

Title

Owner

Phone

(727) 347-2557

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sunshine Pediatric Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roxene Susan Riles, PHD, FNP-C, RN

  • Family Nurse Practitioner
  • St Petersburg, FL
  • NPI 1518416510
  NPD Authorized official

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1710547005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66629",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337366629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 58TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337096003",
            "telephone_number": "727-347-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RJ PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "RILES",
        "authorized_official_first_name": "ROXENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-347-2557",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020668300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunshine Pediatric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Riveros
• Antoinette Rivers, APRN
• Melissa Rivers
• Brianna Marie Rizzo, M.S.
• Gerald Joseph Rizzo, MD
• RK3, LLC
• RMR Counseling LLC
• Barry J. Robbins, M.S.
• Jason Lance Robbins, D.C.
• Michael E Robbins, CRNA

• Family Nurse Practitioner in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.