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1033678024 NPI number — JAIME LYN RILEY

NPI Number: 1033678024
Health Care Provider/Practitioner: JAIME LYN RILEY

Information about “1033678024” NPI (JAIME LYN RILEY) exists in 1033678024 in HTML format HTML  |  1033678024 in plain Text format TXT  |  1033678024 in PDF (Portable Document Format) PDF  |  1033678024 in an XML format XML  formats.

NPI Number : 1033678024 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033678024",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RILEY",
    "FirstName": "JAIME",
    "MiddleName": "LYN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MYERS",
    "OtherFirstName": "JAIME",
    "OtherMiddleName": "LYN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "7557B DANNAHER DR STE 225",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "POWELL",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37849-3568",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "865-647-3450",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "660 BEAVER CREEK CIR STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MAUMEE",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "43537-1746",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "419-891-6201",
    "PracticeLocationAddressFaxNumber": "419-893-1227",
    "EnumerationDate": "03/18/2019",
    "LastUpdateDate": "12/15/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207V00000X",
          "TaxonomyName": "Obstetrics & Gynecology Physician",
          "LicenseNumber": "34.018266",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207V00000X",
          "TaxonomyName": "Obstetrics & Gynecology Physician",
          "LicenseNumber": "DO5092",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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