Riley Elizabeth Despres, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9526918 Issued in FL

Practice address

3015 Parental Home Rd
Jacksonville, FL 32216-5768

Phone

(904) 720-0387

Fax

(904) 724-8513

NPI assigned

Feb 24, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Youth Crisis Center, Inc.

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1770884686
  NPD (past)

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1982298535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 PARENTAL HOME RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165768",
            "telephone_number": "904-720-0387",
            "fax_number": "904-724-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 PARENTAL HOME RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165768",
            "telephone_number": "904-720-0387",
            "fax_number": "904-724-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESPRES",
        "first_name": "RILEY",
        "middle_name": "ELIZABETH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9526918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desire for the Heart, LLC
• Desire Health Care Corp.
• Desmond P. Bell, Jr., DPM, PA
• Kelly Elizabeth Desousa, MS, ATR
• Michelle Despres
• Selmawit Desta
• Christopher Destephano, MD
• Don Bernard Destephano, MD
• Erica Davalt Destephano, OT
• Patricia Ann Destephano, OTR

• Registered Nurse in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.

Verify at the official NPI Registry.