Shannon Riley
MD | Pediatrics | Female
Shannon Riley, MD is a Memphis, Tennessee based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Shannon Riley is
848 Adams Ave, Memphis, Tennessee - 38103-2816. She can be contacted on phone at
901-287-6112.
Shannon Riley is a sole proprietor of her business.
NPI number (Unique professional ID) for Shannon Riley is
1962820779 which was assigned by NPPES on 31 Mar, 2014 and it was last updated on 17 Dec, 2021.
Shannon Riley license number is
56154 for Pediatrics (208000000X) in Tennessee.
Shannon Riley is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Shannon Riley basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Shannon Riley |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Shannon Riley address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 848 Adams Ave
Memphis, TN, 38103-2816
United States |
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| Phone Number : | 901-287-6112 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1962820779 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 31 Mar, 2014 |
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| Last Updated On : | 17 Dec, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shannon Riley are as mentioned. Primary taxonomy code for Shannon Riley, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207P00000X | Emergency Medicine | No | 56154 | TN |
| 208000000X | Pediatrics | Yes | 56154 | TN |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
Legacy Identifiers:
Other legacy medical identifiers of Shannon Riley such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| PENDING | MEDICAID | TN | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
2040 W CHARLESTON BLVD STE 402,
LAS VEGAS, NV, 89102-2250
United States | LAS VEGAS, NV | 702-671-2236 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
SOAP
(SOAP URL) | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Carequality | | HIE
Health Information Exchange (HIE)
| OTHER
Other
C-CDA | 700 LAWRENCE EXPY,
SANTA CLARA, CA, 95051-5173
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2040 W Charleston Blvd Ste 402
Las Vegas, NV, 89102-2250
United States |
|---|
Business Location:
Patients can refer following map for directions to
Shannon Riley practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.