Kristen Nicole Riley, APRN | |
1000 Breckenridge St Ste 301, Owensboro, KY 42303-0877 | |
(502) 588-3650 | |
(502) 588-7852 |
Full Name | Kristen Nicole Riley |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 1000 Breckenridge St Ste 301, Owensboro, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740681337 | NPI | - | NPPES |
300019945 | Medicaid | IN | |
7100372210 | Medicaid | KY | |
3008929 | Other | KY | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 3008929 (Kentucky) | Primary |
Entity Name | Primary Care Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295716694 PECOS PAC ID: 7618919838 Enrollment ID: O20050527000431 |
Entity Name | University Of Louisville Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036 |
Entity Name | Norton Childrens Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457999096 PECOS PAC ID: 3779917596 Enrollment ID: O20200102000758 |
Mailing Address | Practice Location Address |
---|---|
Kristen Nicole Riley, APRN Po Box 776879, Chicago, IL 60677-5879 Ph: (502) 272-5817 | Kristen Nicole Riley, APRN 1000 Breckenridge St Ste 301, Owensboro, KY 42303-0877 Ph: (502) 588-3650 |
Kim Ann Harley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2211 Mayfair Dr Ste 102, Owensboro, KY 42301 Phone: 270-688-1351 Fax: 270-688-3342 | |
Mrs. Catherine Elizabeth Bowlds, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1301 Pleasant Valley Rd, Owensboro, KY 42303 Phone: 270-929-5731 | |
Calla M Hass, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1325 Triplett St, # A, Owensboro, KY 42303 Phone: 270-686-8500 Fax: 270-685-5467 | |
Kimberly Michelle Gilstrap, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3500 Frederica St, Owensboro, KY 42301 Phone: 270-684-0023 | |
Jennifer Erin Brenner, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 E Parrish Ave Ste 100, Owensboro, KY 42303 Phone: 270-688-1770 | |
Olivia Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3419 Wathens Xing, Owensboro, KY 42301 Phone: 270-313-8426 | |
Justen L. Bickett, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1325 Triplett St # A, Owensboro, KY 42303 Phone: 270-686-8500 Fax: 270-685-5467 |