Individual provider Active NPI

Christiane Riella, PA

  • Physician Assistant
  • Naples, FL
National Provider Identifier
1821049024
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
FLPA2631 Issued in FL
Practice address
2659 Professional Circle
Suite 115
Naples, FL 34119-8092
Phone
(239) 596-0100
Fax
(239) 596-6737
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X FLPA2631 FL Primary

Addresses

Primary practice location

2659 Professional Circle
Suite 115
Naples, FL 34119-8092

Mailing address

2659 Professional Circle
Suite 115
Naples, FL 34119-8092
Phone (239) 596-0100

Other identifiers 1

IdentifierTypeStateIssuer
290784400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060808000150 FL Practitioner - Physician Assistant 8426051608 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
FLPA2631FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Collier Hma Physician Management LLC Past Accepting new patients

Organizations & group practices 2

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1821049024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2659 PROFESSIONAL CIRCLE",
            "address_2": "SUITE 115",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341198092",
            "telephone_number": "239-596-0100",
            "fax_number": "239-596-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 PROFESSIONAL CIRCLE",
            "address_2": "SUITE 115",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341198092",
            "telephone_number": "239-596-0100",
            "fax_number": "239-596-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIELLA",
        "first_name": "CHRISTIANE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "FLPA2631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290784400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.