Active NPI
Nannette C Riley, NURSE PRACTITIONER
- Family Nurse Practitioner
- Asheville, NC
National Provider Identifier
1750489126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5005401
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BINP08055 | Other | NC | MEDICAREID-TYPE UNSPECIFIED |
| 7104053000 | Medicaid | NC | |
| 001721062 | Other | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5005401 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Federally Qualified Health Center (FQHC)
- Winfield, WV
- NPI 1760268643
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.