Individual provider Active NPI

Charlene H. Riach, RN,MS,C-FNP

  • Family Nurse Practitioner
  • Wallkill, NY
National Provider Identifier
1780736413
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F330109-1 Issued in NY
Practice address
90 Robinson Dr.
Wallkill, NY 12589-4008
Phone
(845) 895-7156
Fax
(845) 895-7173
NPI assigned
Jan 16, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F330109-1 NY Primary

Addresses

Primary practice location

90 Robinson Dr.
Wallkill, NY 12589-4008

Mailing address

236 Clearview Dr
Wallkill, NY 12589-4008
Phone (845) 895-7156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
F330109-1NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1780736413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 CLEARVIEW DR",
            "city": "WALLKILL",
            "state": "NY",
            "postal_code": "125894008",
            "telephone_number": "845-895-7156",
            "fax_number": "845-895-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 ROBINSON DR.",
            "city": "WALLKILL",
            "state": "NY",
            "postal_code": "125894008",
            "telephone_number": "845-895-7156",
            "fax_number": "845-895-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIACH",
        "first_name": "CHARLENE",
        "middle_name": "H.",
        "name_prefix": "Mrs.",
        "credential": "RN,MS,C-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F330109-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallkill, NY

Sources for this page

Verify at the official NPI Registry.