MEDICARE: LAURA JENSEN RILEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	95019852	CA
2	363L00000X	Nurse Practitioner	845484	NV

General Provider Information

NPI Number	:	1578216818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA JENSEN RILEY

Provider Business Mailing Address
First Line	:	2092 LAKE TAHOE BLVD STE 500
Second Line	:
City	:	S LAKE TAHOE
State	:	CA
Zip	:	96150-6429
Country	:	US
Telephone Number	:	530-600-1960
Fax Number	:

Provider Business Practice Location Address
First Line	:	2092 LAKE TAHOE BLVD STE 500
Second Line	:
City	:	SOUTH LAKE TAHOE
State	:	CA
Zip	:	96150-6429
Country	:	US
Telephone Number	:	530-600-1960
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2022
Last Update Date	:	04/07/2025

Similar Medicare Providers

1356348890 — BARTON HEALTHCARE SYSTEM
Practice Location Address:

2092 LAKE TAHOE BLVD STE 500
SOUTH LAKE TAHOE, CA
96150-6429

Practice Phone: 530-543-5581
Practice Fax: 530-541-2653

1083678791 — BARTON HEALTHCARE SYSTEM
Practice Location Address:

2092 LAKE TAHOE BLVD STE 500
SOUTH LAKE TAHOE, CA
96150-6429

Practice Phone: 530-543-5581
Practice Fax: 530-541-2653

1811590813 — LAUREN TRACY WILLS ZEFFARO FNP-BC
Practice Location Address:

2092 LAKE TAHOE BLVD STE 500
SOUTH LAKE TAHOE, CA
96150-6429

Practice Phone: 530-600-1960
Practice Fax:

1316047921 — JENNIFER ANN LEVY P.T.
Practice Location Address:

1775 WILLISTON RD
SOUTH BURLINGTON, VT
05403-6429

Practice Phone: 802-847-2391
Practice Fax:

1831290196 — KATHLEEN P MORRISSEY LCMHC
Practice Location Address:

1775 WILLISTON RD
SOUTH BURLINGTON, VT
05403-6429

Practice Phone: 802-847-6184
Practice Fax: 802-847-6140

1457444879 — CYNTHIA BARBARA ALMONTE PT
Practice Location Address:

1775 WILLISTON RD
SOUTH BURLINGTON, VT
05403-6429

Practice Phone: 802-847-2391
Practice Fax: 802-847-6140

Directions to “ LAURA JENSEN RILEY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.