Individual provider Active NPI

Juanita Ann Riley, WHNP

  • Women's Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1932465614
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
COA.12031 Issued in OH
Practice address
3433 Agler Rd
Suite 2800
Columbus, OH 43219-3387
Phone
(614) 645-1600
Fax
(614) 645-1347
NPI assigned
Apr 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X COA.12031 OH Primary

Addresses

Primary practice location

3433 Agler Rd
Suite 2800
Columbus, OH 43219-3387

Mailing address

1800 Watermark Dr
Suite 420
Columbus, OH 43215-1048
Phone (614) 645-5500

Other identifiers 1

IdentifierTypeStateIssuer
0063891MedicaidOH

Other names 1

  • Juanita Ann Wilkinson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20121211000248 OH Practitioner - Nurse Practitioner 2264684646 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA.12031OHMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G LLC CurrentSince Feb 1, 2018 Accepting new patients
Trihealth H LLC CurrentSince Nov 1, 2021 Accepting new patients
Trihealth G, LLC CurrentSince Feb 1, 2018 Accepting new patients
Trihealth Physician Institute Past Accepting new patients

Locations

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

10495 Montgomery Rd
Ste 15
Montgomery, OH 45242
Phone (513) 936-8900

10495 Montgomery Rd
Ste 25
Montgomery, OH 45242
Phone (513) 793-5524

4685 Forest Ave
Ste C
Norwood, OH 45212
Phone (513) 246-7796

Interoperability endpoints

  • Direct secure messaging: jriley263469@direct.trihealth.com

Organizations & group practices 4

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": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1932465614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 WATERMARK DR",
            "address_2": "SUITE 420",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151048",
            "telephone_number": "614-645-5500",
            "fax_number": "614-458-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 AGLER RD",
            "address_2": "SUITE 2800",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193387",
            "telephone_number": "614-645-1600",
            "fax_number": "614-645-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "JUANITA",
        "middle_name": "ANN",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-06",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "COA.12031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0063891",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUANITA",
            "last_name": "WILKINSON",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.