TAMARA JEAN RILEY (NPI# 1013069004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013069004 |
| Entity Type | Individual |
| Full Name | TAMARA JEAN RILEY |
| Credential | LPN |
| Practice Address |
111 Park Ave Baltimore MD 21201-3402 |
| Mailing Address |
1804 Maxwell Ave Dundalk MD 21222-2912 |
| Practice Telephone | 4108375533 |
| Practice Fax Number | 4108372168 |
| Mailing Telephone | 4102846823 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LP26514 | MD | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912426248 | Tamara S Riley | Nurse Practitioner | 99 N Mill St, Little Mountain, SC 29075-8788 | 2017-09-19 |
| Street Address |
111 PARK AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275514150 | Frederick Ricky Thaxton | Counselor | 111 Park Ave, Health Care for The Homeless, Baltimore, MD 21201-3402 | 2005-11-08 |
| 1932342821 | Health Care for The Homeless | Community/Behavioral Health | 111 Park Ave, Baltimore, MD 21201-3402 | 2009-04-08 |
| 1538320387 | Joan Teresa Pusey | Registered Nurse | 111 Park Ave, Baltimore, MD 21201-3402 | 2008-06-24 |
| 1922275353 | Karen Marie Maddy | Registered Nurse | 111 Park Ave, Baltimore, MD 21201-3402 | 2008-05-14 |
| 1467624692 | Hazel Burnett | Registered Nurse | 111 Park Ave, Baltimore, MD 21201-3402 | 2008-03-27 |
| 1841462405 | Susan Josephine Zator | Registered Nurse | 111 Park Ave, Baltimore, MD 21201-3402 | 2008-03-24 |
| 1437320140 | Elaina Rebecca Mcwilliams | Social Worker | 111 Park Ave, Baltimore, MD 21201-3402 | 2008-03-20 |
| 1861688053 | Terry James Clark | Counselor | 111 Park Ave, Baltimore, MD 21201-3402 | 2007-09-20 |
| 1609084797 | Shirley Bouchet | Registered Nurse | 111 Park Ave, Baltimore, MD 21201-3402 | 2007-05-20 |
| 1841311131 | Mary Jo Brisebois | Registered Nurse | 111 Park Ave, Baltimore, MD 21201-3402 | 2007-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
| Find all providers in zip 21201 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073135455 | Sherlyn Sandy | Licensed Practical Nurse | 4621 Arabia Ave, Baltimore, MD 21214-3234 | 2020-05-08 |
| 1932745221 | Melissa Suzanne Massey-smith | Licensed Practical Nurse | 1120 W Washington St, Baltimore, OH 43105-1158 | 2019-11-21 |
| 1285281535 | Lotus Pediatric-psychiatry and Behavioral Health Services | Licensed Practical Nurse | 503 Evergreen St, Baltimore, MD 21223-1000 | 2019-08-21 |
| 1033679683 | Lakeisha Jones | Licensed Practical Nurse | 1618 N Broadway, Baltimore, MD 21213-2315 | 2019-03-20 |
| 1447784483 | Arnita Grant | Licensed Practical Nurse | 6310 Green Spring Avenue, Suite 303, Baltimore, MD 21209 | 2017-04-17 |
| 1861897894 | Christopher Duve | Licensed Practical Nurse | 399 Carroll Eastern Rd Nw, Baltimore, OH 43105-9747 | 2014-11-04 |
| 1770820854 | Orleen Alexanderina Igwe | Licensed Practical Nurse | 12 Plateau Rd, Baltimore, MD 21221-7030 | 2013-01-10 |
| 1578885638 | John Barr | Licensed Practical Nurse | 9870 Basil Rd, Baltimore, OH 43105-9435 | 2010-02-17 |
| 1174751416 | Carolyn Williams | Licensed Practical Nurse | 3605 Old York Rd, Baltimore, MD 21218-2547 | 2009-06-25 |
| 1811180474 | Wanda Inez Dominic | Licensed Practical Nurse | 1918 Druid Hill Ave, Baltimore, MD 21217-3502 | 2007-08-27 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.