MR. RANDAL ANTHONY RILEY JR. (NPI# 1124503776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124503776 |
| Entity Type | Individual |
| Full Name | MR. RANDAL ANTHONY RILEY JR. |
| Credential | LPN |
| Practice Address |
4363 W Dean Rd Apt 164 Brown Deer WI 53223-3100 |
| Mailing Address |
5826 W Boehlke Ave Apt 4 Milwaukee WI 53223-5292 |
| Practice Telephone | 3059782335 |
| Mailing Telephone | 3059782335 |
| Enumeration Date | 2018-09-29 |
| Last Update Date | 2020-05-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 252849-30 | WI | Nursing Service Providers |
| N | 164W00000X | Licensed Practical Nurse | 321568 | WI | Nursing Service Providers |
| Street Address |
4363 W DEAN RD APT 164 |
| City | BROWN DEER |
| State | WI |
| Zip Code | 53223-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742206 | Jamie Brown | Home Health Aide | 8200 W. Clovernook Street, Milwaukee, WI 53223 | 2020-08-28 |
| 1730725656 | Lekecia Ferguson | Case Manager/Care Coordinator | 7970 W Glendbrook Rd, Milwaukee, WI 53223 | 2019-11-26 |
| 1457994717 | Talitha Cumi | Specialist | 6239 West Boehlke Avenue, Tiana M. Jenkins, Mlwaukee, WI 53223 | 2019-10-18 |
| 1235627498 | Letitia Dotson | Licensed Practical Nurse | 9395 N 49th St, Apt 201, Brown Deer, WI 53223 | 2018-04-24 |
| 1588176002 | Courtney Erin Tomaszewski | Occupational Therapy Assistant | 7300 W. Dean Rd, Milwaukee, WI 53223 | 2017-10-25 |
| 1972051373 | Sam's East, Inc. | Technician/Technologist | 8100 N 124th Street, Milwaukee, WI 53223 | 2016-09-14 |
| 1346671302 | Atlantic Home Health Care, Inc | Home Health | 5600 West Brown Deer Road, #216, Brown Deer, WI 53223 | 2013-12-02 |
| 1720415938 | Bell Therapy, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7229-7231 W. Brentwood Ave., Milwaukee, WI 53223 | 2013-10-02 |
| 1528405701 | Ground Support Logistics LLC | Driver | 8200 W Browndeer Rd, Milwaukee, WI 53223 | 2013-05-29 |
| 1801136288 | Nicole M. Rintelman | Registered Nurse | 4600 W. Schroeder Drive, Rogers Memorial Hospital, Brown Deer, WI 53223 | 2013-02-22 |
| Find all providers in zip 53223 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1588013676 | April Dee Schumann | Registered Nurse | 6206 W Fairlane Ave, Brown Deer, WI 53223-3472 | 2016-06-08 |
| 1619321577 | Trina Marie Hinds | Registered Nurse | 9057 Brandybrook Trl, Brown Deer, WI 53223-2171 | 2016-04-18 |
| 1023418266 | Rachael Lee | Registered Nurse | 4610 W Tower Ave, Brown Deer, WI 53223-3734 | 2014-08-25 |
| 1801136288 | Nicole M. Rintelman | Registered Nurse | 4600 W. Schroeder Drive, Rogers Memorial Hospital, Brown Deer, WI 53223 | 2013-02-22 |
| 1891033908 | Michelle Renee Thompson | Registered Nurse | 9376 N Fairy Chasm Ln, Brown Deer, WI 53223-6443 | 2013-01-24 |
| 1194085597 | Jeanne H Jeanphilippe | Registered Nurse | 5939 W Green Brook Dr, Brown Deer, WI 53223-2336 | 2012-05-21 |
| 1255623500 | Sandra Jean Enders | Registered Nurse | 4535 W County Line Rd, Brown Deer, WI 53223-1434 | 2011-05-04 |
| 1962730366 | Gladys Rivera | Registered Nurse | 5225 W Wabash Ave, Brown Deer, WI 53223-3069 | 2009-11-23 |
| 1730372285 | Rita Irene Kuyper | Registered Nurse | 4011 W Fountain Ave, Brown Deer, WI 53209-1713 | 2007-08-18 |
| 1760604474 | Elizabeth B Kalugira | Registered Nurse | 8078 N 50th St, Brown Deer, WI 53223-3663 | 2007-05-03 |
| Find all providers in BROWN DEER | ||||
| City | BROWN DEER |
| Zip Code | 53223 |
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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.