Pam Rillstone, PHD, ARNP, CNS

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

ARNP 1247222 Issued in FL

Practice address

6817 Southpoint Pkwy
Ste 304
Jacksonville, FL 32216-6282

Phone

(904) 296-3113

Fax

(904) 296-3144

NPI assigned

Aug 9, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Doctor of Philosophy

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281312000000",
    "number": "1730494253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13801 VICTORIA LAKES DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322264898",
            "telephone_number": "904-610-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY",
            "address_2": "STE 304",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166282",
            "telephone_number": "904-296-3113",
            "fax_number": "904-296-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILLSTONE",
        "first_name": "PAM",
        "name_prefix": "Dr.",
        "credential": "PHD, ARNP, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2010-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP 1247222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharhonda Riley, RBT
• Shiobhan Riley
• Taneisha Riley, MASTER LEVEL
• Tracy M Riley, LCSW
• Matthew C Rill, MD
• Abdallah O. Rimawi, MD
• Kennedy James Ringelberg, MD
• Robin Ringer
• Gregory E Ringler, DMD
• Annie M. Rini, ARNP

• Psychiatric/Mental Health Clinical Nurse Specialist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.