Individual provider Active NPI

Riley Kuderca

  • Registered Nurse
  • Tucson, AZ
National Provider Identifier
1730966334
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
286057 Issued in AZ
Practice address
4757 E Winsett St
Tucson, AZ 85711-4370
Phone
(520) 232-6600
NPI assigned
Sep 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 286057 AZ Primary

Addresses

Primary practice location

4757 E Winsett St
Tucson, AZ 85711-4370

Mailing address

1701 E 10TH St
Tucson, AZ 85719-5917

Other practice location 1

3300 S Park Ave
Tucson, AZ 85713-0005
Phone (520) 372-8700

Other practice location 2

2945 N Tucson Blvd
Tucson, AZ 85716-1898
Phone (520) 232-6700

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

LicenseStateTypeSpecialty
286057AZMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1730966334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E 10TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857195917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4757 E WINSETT ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857114370",
            "telephone_number": "520-232-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 S Park Ave",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857130005",
            "country_code": "US",
            "telephone_number": "520-372-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2945 N Tucson Blvd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857161898",
            "country_code": "US",
            "telephone_number": "520-232-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUDERCA",
        "first_name": "RILEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "286057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.