KRISTIN RILEY (NPI# 1336667732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336667732 |
| Entity Type | Individual |
| Full Name | KRISTIN RILEY |
| Credential | PA-C |
| Practice Address |
1375 N Main St Lapeer MI 48446-1350 |
| Mailing Address |
5826 Dixie Hwy Waterford MI 48329-1525 |
| Practice Telephone | 8106675204 |
| Mailing Telephone | 2483838770 |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2019-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601008368 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1221 Pine Grove Ave, Port Huron, MI 480603511 | (810) 989-3300 | 8109852671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003042680 | Kristin A Riley | Obstetrics & Gynecology | 35 Hope Dr Ste 202204, Hershey, PA 17033-2008 | 2009-06-09 |
| 1467583476 | Kristin Rebecca Riley | Social Worker | 2727 Se Alder St, Portland, OR 97214-3015 | 2007-03-08 |
| 1053372565 | Kristin Riley | Physical Therapist | 1181 Aquidneck Ave, Olympic Physical Therapy, Middletown, RI 02842 | 2006-04-01 |
| 1699259820 | Kristin Riley | Counselor | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2018-09-24 |
| 1992226757 | Kristin Riley | Physical Therapist | 110 N Ankeny Blvd, Ankeny, IA 50023-1756 | 2017-07-02 |
| 1225384878 | Kristin L Riley | Physician Assistant | 615 E Alexander St, Plant City, FL 33563-7126 | 2012-08-01 |
| 1851652689 | Kristin Lynn Riley | Pediatrics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2012-06-07 |
| 1134441884 | Kristin Stone Riley | Occupational Therapist | 202 Smoketree Way, Louisburg, NC 27549-2165 | 2010-02-23 |
| 1952512667 | Kristin Colvin Riley | Physician Assistant | 90 Bergen St, Suite 1200, Newark, NJ 07103-2425 | 2007-05-24 |
| Street Address |
1375 N MAIN ST |
| City | LAPEER |
| State | MI |
| Zip Code | 48446-1350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205839909 | Gary Sheldon Salem | Internal Medicine | 1375 N Main St, 1w, Lapeer, MI 48446-1350 | 2005-05-27 |
| 1124651138 | Muamer Mesinovic | Nurse Anesthetist, Certified Registered | 1375 N Main St, Lapeer, MI 48446-1350 | 2020-02-18 |
| 1649828146 | Mayo Mitsuya Pllc | Surgery | 1375 N Main St, Lapeer, MI 48446-1350 | 2019-08-28 |
| 1881254340 | Justin Bailey | Registered Nurse | 1375 N Main St, Lapeer, MI 48446-1350 | 2019-06-17 |
| 1629631205 | Hayley L Dunlap | Registered Nurse | 1375 N Main St, Lapeer, MI 48446-1350 | 2019-04-18 |
| 1871061424 | Marci Kay Coates | Nurse Practitioner | 1375 N Main St, Lapeer, MI 48446-1350 | 2018-11-12 |
| 1659849586 | Ashley N Brown | Nurse Practitioner | 1375 N Main St, Lapeer, MI 48446-1350 | 2018-11-08 |
| 1023591484 | Rose Kodsy | Nurse Practitioner | 1375 N Main St, Lapeer, MI 48446-1350 | 2018-09-12 |
| 1427546290 | Brooke Lubahn | Occupational Therapist | 1375 N Main St, Lapeer, MI 48446-1350 | 2018-04-27 |
| 1255838090 | Thandapani Sivakumar | Physical Therapist | 1375 N Main St, Lapeer, MI 48446-1350 | 2018-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285136986 | Michelle Jean Windom | Social Worker | 608 Fox St., Lapeer, MI 48446 | 2018-03-08 |
| 1831448927 | Christina Thick | Registered Nurse | 1570 Suncrest Drive, Lapeer, MI 48446 | 2012-09-05 |
| 1740556109 | Nina S Lopatin | Audiologist | 951 S. Main Street, Ste. 2, Lapeer, MI 48446 | 2012-03-29 |
| 1316249295 | Adam Richard Ahlgren | Occupational Therapist | 2525 Demille Blvd, Lapeer, MI 48446 | 2010-11-26 |
| 1780903898 | Melissa Ann Price | Occupational Therapy Assistant | 1582 Heather Drive, Lapeer, MI 48446 | 2010-05-28 |
| 1801123732 | Colleen Marie Soto | Counselor | 608 Fox Street, Lapeer, MT 48446 | 2009-11-13 |
| 1396071684 | Michigan Spinal Rehabilitation Clinics Pllc | Psychiatry & Neurology | 2401 W. Genesee Street, Suite A, Lapeer, MI 48446 | 2009-10-22 |
| 1659541902 | Hesham E Gayar, Md, PC | Specialist | 1295 Barry Drive, Suite A, Lapeer, MI 48446 | 2008-03-03 |
| 1790977494 | Stanley S. Roland, D.o., P.C. | Dermatology | 610 North Main Street, Lapeer, MI 48446 | 2007-08-16 |
| 1316139603 | Kimberly Ann Proffer | Pharmacist | 15555 Demill Rd, Lapeer, MI 48446 | 2007-08-10 |
| Find all providers in zip 48446 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922574433 | Skyler Rae Dewitt | Physician Assistant | 1031 Suncrest Dr, Lapeer, MI 48446-1136 | 2018-10-23 |
| 1730674458 | Antonino Matina | Physician Assistant | 1031 Suncrest Dr, Lapeer, MI 48446-1136 | 2018-06-25 |
| 1790848695 | Nicole Marie Mckenna | Physician Assistant | 307 S Court St, Lapeer, MI 48446-2514 | 2006-12-19 |
| 1861428021 | Marcus Alan Daig | Physician Assistant | 1083 Suncrest Dr, Suite A, Lapeer, MI 48446-4403 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616687 | Alexandria Jaclyn Miller | Physician Assistant | 4700 Chipman Dr, Waterford, MI 48327-3413 | 2020-10-15 |
| 1639777287 | Piotr Z Purzycki | Physician Assistant | 41400 Dequindre Rd Ste 101, Sterling Heights, MI 48314-3751 | 2020-10-15 |
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1326656844 | Dominic Farrell | Physician Assistant | 224 Portchester Rd, Holland, MI 49424-2628 | 2020-07-21 |
| 1982212072 | Alexandria Bower-nelson | Physician Assistant | 1302 Porter Drive, Charlotte, MI 48813 | 2020-07-15 |
| 1013535343 | Maria Pavia | Physician Assistant | 41302 Scarborough Ln, Novi, MI 48375-2893 | 2020-07-13 |
| 1073130241 | Kelly F Esper | Physician Assistant | 9043 Glenwood Ln, Northville, MI 48168-9129 | 2020-07-02 |
| 1811513971 | Tasha Baker | Physician Assistant | 5444 E Whitefeather Rd, Pinconning, MI 48650-8407 | 2020-06-24 |
| 1437770054 | Sterling Ryan Maxfield | Physician Assistant | 6187 Oak Grove Rd, Howell, MI 48855-8247 | 2020-05-05 |
| 1760018808 | Rachel Renee Mackmin | Physician Assistant | 41498 Mary Kay Dr, Clinton Township, MI 48038-1989 | 2020-03-20 |
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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.