Active NPI
Laura J. Riley, CNP
- Nurse Practitioner
- Canton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- COA-12683-NP
- Practice address
- 2600 7TH St SW
Canton, OH 44710-1709 - Phone
- (330) 363-6242
- Fax
- (330) 363-3877
- NPI assigned
- Nov 17, 2011
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | COA-12683-NP | OH | Primary |
Addresses
Primary practice location
2600 7TH St SW
Canton, OH 44710-1709
Mailing address
The Univ of Akron NSG Center MGH # 116
209 Carroll Street
Akron, OH 44325-3703
Phone (330) 972-6968
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2600 7TH St SW
Canton, OH 44710-1709
Phone (330) 363-6242
Hospital & facility affiliations
- Aultman Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA-12683-NP | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Community Health Center | Current | Accepting new patients | |
| My Community Health Center | Current | Accepting new patients | |
| My Community Health Center | Past | Accepting new patients |
Locations
2600 7th St SW
Canton, OH 44710
Phone (330) 363-6242
10029 Cleveland Ave SE
Magnolia, OH 44643
Phone (234) 386-0306
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Canton, OH
- NPI 1588117147
-
- Federally Qualified Health Center (FQHC)
- Canton, OH
- NPI 1659146884
-
- Federally Qualified Health Center (FQHC)
- Magnolia, OH
- NPI 1306495312
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Canton, OH
- NPI 1356366991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592784000000",
"number": "1972870194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "THE UNIV OF AKRON NSG CENTER MGH # 116",
"address_2": "209 CARROLL STREET",
"city": "AKRON",
"state": "OH",
"postal_code": "443253703",
"telephone_number": "330-972-6968",
"fax_number": "330-972-5883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 7TH ST SW",
"city": "CANTON",
"state": "OH",
"postal_code": "447101709",
"telephone_number": "330-363-6242",
"fax_number": "330-363-3877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "LAURA",
"middle_name": "J.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-17",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "COA-12683-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.