Jolene Riley, RN

Primary specialty

Hospice Registered NurseTaxonomy code 163WH1000X

License

087000385RN Issued in OR

Practice address

4115 SE Hager LN
Milwaukie, OR 97267-2925

Phone

(503) 654-7115

NPI assigned

Jun 25, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1902467434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19776 SE STARK ST UNIT 46",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972336084",
            "telephone_number": "360-624-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 SE HAGER LN",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972672925",
            "telephone_number": "503-654-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "JOLENE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "OR",
            "license": "087000385RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Portland",
            "affiliation": "N",
            "address_1": "4115 SE Hager Ln",
            "city": "Milwaukie",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972672925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Portland",
            "affiliation": "N",
            "address_1": "4115 SE Hager Ln",
            "city": "Milwaukie",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972672925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elaine Rachelle Richwine, BIRTH DOULA
• Nancy Elizabeth Rickert, M.S., CCC-SLP
• Amy Jo Rieger, PHYSICAL THERAPIST
• Corey Dee Riggs, PA-C
• Donovan Whitcomb Riley, PHYSICAL THERAPIST
• Patricia Ann Riley, PHYSICAL THERAPIST
• Denise Elaine Ringering, OTR/L
• Rachael A Ringwood, MSW, LCSW
• Maria Jose Rios, OTR/L
• Mark Anthony Rioux

• Hospice Registered Nurse in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Hospice Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.