Individual provider Active NPI

Christina Lynn Riley

  • Home Health Registered Nurse
  • Maryville, TN
National Provider Identifier
1780156869
Registry record updated Dec 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
96838 Issued in TN
Practice address
4208 Butterfly Gap Loop
Maryville, TN 37803-4286
Phone
(865) 368-3853
Fax
(865) 238-2307
NPI assigned
Dec 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 96838 TN Primary

Addresses

Primary practice location

4208 Butterfly Gap Loop
Maryville, TN 37803-4286

Mailing address

4208 Butterfly Gap Loop
Maryville, TN 37803-4286
Phone (865) 368-3853

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
96838TNMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1546041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546041600000",
    "number": "1780156869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 BUTTERFLY GAP LOOP",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378034286",
            "telephone_number": "865-368-3853",
            "fax_number": "865-238-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 BUTTERFLY GAP LOOP",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378034286",
            "telephone_number": "865-368-3853",
            "fax_number": "865-238-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "CHRISTINA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-29",
        "last_updated": "2018-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TN",
            "license": "96838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2018; 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.