DR. ROXENE SUSAN RILES (NPI# 1518416510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518416510 |
| Entity Type | Individual |
| Full Name | DR. ROXENE SUSAN RILES |
| Other Name | ROXENE SUSAN GEORGE |
| Credential | PHD, FNP-C, RN |
| Practice Address |
3955 58th St N St Petersburg FL 33709 |
| Mailing Address |
3955 58th St N St Petersburg FL 33709-6003 |
| Practice Telephone | 7273472557 |
| Practice Fax Number | 7273458972 |
| Mailing Telephone | 7273472557 |
| Mailing Fax Number | 7273458972 |
| Enumeration Date | 2016-10-02 |
| Last Update Date | 2019-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3299832 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 640 Tyrone Blvd N, St Petersburg, FL 337107126 | 7275287827 | |
| 6560 Ulmerton Rd, Largo, FL 337714940 | 8139155459 | 7273033360 |
| Street Address |
3955 58TH ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578756607 | Darla Diferdinando | Occupational Therapy Assistant | 3955 58th St N, St Petersburg, FL 33709-6003 | 2007-08-22 |
| 1720627631 | Angela Louise Heath | Pediatrics | 3955 58th St N, St Petersburg, FL 33709-6003 | 2019-12-26 |
| 1437700044 | R & J Family Medicine LLC | Family Medicine | 3955 58th St N, St Petersburg, FL 33709-6003 | 2019-09-25 |
| 1710547005 | Rj Pediatrics LLC | Nurse Practitioner | 3955 58th St N, St Petersburg, FL 33709-6003 | 2019-06-18 |
| 1366856403 | Denver Briley | Emergency Medicine | 3955 58th St N, St Petersburg, FL 33709 | 2014-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110637 | Mylien Le | Registered Nurse | 6001 49th Street North, St Petersburg, FL 33709 | 2020-03-23 |
| 1457885063 | Kamlesh Rajani | Pharmacist | 5985-b 49th Street North, Saint Petersburg, FL 33709 | 2017-04-20 |
| 1417382912 | Farhan Hooda | Internal Medicine | The Heart Institute, 6006 49th St. North, Ste. 200, St. Petersburg, FL 33709 | 2013-09-04 |
| 1558702605 | Walgreens | Clinic/Center | 3994 Tyrone Blvd, Saint Petersburg, FL 33709 | 2013-07-17 |
| 1437417607 | Jeri Devale | Social Worker | 6241 43rd Ter N, Kenneth City, FL 33709 | 2012-04-25 |
| 1528340643 | Steven E. Allbritton | Pharmacist | 5405 66th Street N., Saint Petersburg, FL 33709 | 2011-09-14 |
| 1043537335 | Milan Ravindra Patel | Internal Medicine | 3901 66th St N Ste 201, St Petersburg, FL 33709 | 2010-04-26 |
| 1134454713 | Eye Designs Optical and Vision Care, LLC | Optometrist | 3831 Tyrone Boulevard, St. Petersburg, FL 33709 | 2009-10-15 |
| 1487827069 | Jose Manuel Garcia | Dentist | 4911 Park Street North, St Petersburg, FL 33709 | 2008-04-04 |
| 1104097427 | Stanley D Grimmel | Chiropractor | 5670 54th Ave. N, A2, Saint Petersburg, FL 33709 | 2008-03-13 |
| Find all providers in zip 33709 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346857349 | Angelea N Koenig | Nurse Practitioner | 625 6th Ave S Ste 125, St Petersburg, FL 33701-4664 | 2020-09-24 |
| 1508479411 | Kendall Day Melendi | Nurse Practitioner | 6499 38th Ave N Ste B2, St Petersburg, FL 33710-1650 | 2020-08-28 |
| 1376160408 | Vicki Lynn Cory | Nurse Practitioner | 2315 7th St N, St Petersburg, FL 33704-3303 | 2020-07-06 |
| 1851917520 | Aushaunte F White | Nurse Practitioner | 6395 21st Way S, St Petersburg, FL 33712-5737 | 2020-06-18 |
| 1932730025 | Julio Gandarillas | Nurse Practitioner | 2062 Burlington Ave N, St Petersburg, FL 33713-8033 | 2020-01-28 |
| 1376182485 | Jermece Watts | Nurse Practitioner | 6101 Dr Martin Luther King Jr St N, St Petersburg, FL 33703-1141 | 2020-01-06 |
| 1619510864 | Tracie D Barber | Nurse Practitioner | 1049 27th Ave S, St Petersburg, FL 33705-3527 | 2019-10-21 |
| 1194367136 | Jessica Danielle Einwag Arnold | Nurse Practitioner | 1515 Eden Isle Blvd Ne Apt 32, St Petersburg, FL 33704-1718 | 2019-10-10 |
| 1588205678 | Lauren Bartkovsky | Nurse Practitioner | 10475 Gandy Blvd N Unit 1401, St Petersburg, FL 33702-2493 | 2019-10-01 |
| 1699337352 | Janae N Anderson | Nurse Practitioner | 1201 5th Ave N Ste 408, St Petersburg, FL 33705-1425 | 2019-07-02 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33709 |
Please comment or provide details below to improve the information on DR. ROXENE SUSAN RILES.
| 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.