Active NPI
Janet E Riley, AUD
- Audiologist
- Port St Lucie, FL
National Provider Identifier
1952564635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A.01627
- Practice address
- 1801 SE Hillmoor Dr
Suite B-105
Port St Lucie, FL 34952-7553 - Phone
- (772) 323-2174
- Fax
- (772) 398-4374
- NPI assigned
- Jul 3, 2008
- Last updated
- Oct 23, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A.01627 | OH | Primary |
Addresses
Primary practice location
1801 SE Hillmoor Dr
Suite B-105
Port St Lucie, FL 34952-7553
Mailing address
1801 SE Hillmoor Dr
Suite B-105
Port St Lucie, FL 34952-7553
Phone (772) 323-2174
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AY1580 | Other | FL | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A.01627 | OH | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cleveland Hearing & Balance Center Inc | Audiologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Otology & Neurotology Physician
- Beachwood, OH
- NPI 1982633103
Audiologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256256000000",
"number": "1952564635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 SE HILLMOOR DR",
"address_2": "SUITE B-105",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527553",
"telephone_number": "772-323-2174",
"fax_number": "772-398-4374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 SE HILLMOOR DR",
"address_2": "SUITE B-105",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527553",
"telephone_number": "772-323-2174",
"fax_number": "772-398-4374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "JANET",
"middle_name": "E",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-03",
"last_updated": "2009-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A.01627",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "AY1580",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.