Individual provider Active NPI

Nannette C Riley, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Asheville, NC
National Provider Identifier
1750489126
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5005401 Issued in NC
Practice address
1201 Patton Ave
Asheville, NC 28806-2707
Phone
(828) 252-4878
Fax
(828) 252-4103
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53690 WV
Pediatric Nurse Practitioner 363LP0200X 53690 WV
Family Nurse Practitioner 363LF0000X 5005401 NC Primary

Addresses

Primary practice location

1201 Patton Ave
Asheville, NC 28806-2707

Mailing address

PO Box 16367
1201 Patton Ave
Asheville, NC 28816-0367
Phone (828) 252-4878

Other identifiers 3

IdentifierTypeStateIssuer
BINP08055OtherNCMEDICAREID-TYPE UNSPECIFIED
7104053000MedicaidNC
001721062OtherBCBS

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5005401NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Womencare, Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1750489126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16367",
            "address_2": "1201 PATTON AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288160367",
            "telephone_number": "828-252-4878",
            "fax_number": "828-252-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PATTON AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288062707",
            "telephone_number": "828-252-4878",
            "fax_number": "828-252-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "NANNETTE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "53690",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WV",
            "license": "53690",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAREID-TYPE UNSPECIFIED",
            "identifier": "BINP08055",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7104053000",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001721062",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.