Active NPI
Logan Layne Riley
- Basic Emergency Medical Technician
- Greenville, SC
National Provider Identifier
1962084897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- Practice address
- 200 University RDG
Greenville, SC 29601-3635 - Phone
- (803) 457-0077
- NPI assigned
- Apr 21, 2021
- Last updated
- Apr 21, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | NU | Primary |
Addresses
Primary practice location
200 University RDG
Greenville, SC 29601-3635
Mailing address
103 Stone Ave Apt a
Easley, SC 29640-1465
Phone (803) 457-0077
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Rileyll@dhec.sc.gov | Direct |
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)
- Not enrolled
Interoperability endpoints
- rileyll@dhec.sc.gov
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618963200000",
"number": "1962084897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 STONE AVE APT A",
"city": "EASLEY",
"state": "SC",
"postal_code": "296401465",
"telephone_number": "803-457-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 UNIVERSITY RDG",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296013635",
"telephone_number": "803-457-0077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "LOGAN",
"middle_name": "LAYNE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-21",
"last_updated": "2021-04-21",
"certification_date": "2021-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Rileyll@dhec.sc.gov",
"affiliation": "N",
"endpointDescription": "Desktop",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Mail",
"address_1": "200 University Rdg",
"city": "Greenville",
"state": "SC",
"country_code": "US",
"postal_code": "296013635",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.