Jennifer R Riley, APRC-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

705919 Issued in TX

Practice address

CVS N. Lamar & Braker # 7442
11300 North Lamar Blvd.
Austin, TX 78753

Phone

(512) 835-6751

NPI assigned

Jul 15, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1780814434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12113 METRIC BLVD",
            "address_2": "APT 1124",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787588680",
            "telephone_number": "512-775-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CVS N. LAMAR & BRAKER # 7442",
            "address_2": "11300 NORTH LAMAR BLVD.",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78753",
            "telephone_number": "512-835-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "APRC-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "705919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlyn Riley
• Brian Randall Riley, D.O.
• Brynn Riley, GC
• Cynthia Ann Riley, LCSW
• Dominique Riley
• Magdalena Riley, LMFT-ASSOCIATE
• Marisa Riley, RD
• Phoenix Amanda Riley
• Shelly Lynn Riley, M.D.
• Susan Marie Riley

• Family Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.