Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly A Riley

Individual provider Nurse Practitioner · NPI 1245837095

Kimberly A Riley is a Nurse Practitioner in Eureka, California. Qualified in 2020, 6 years ago. Practices with Carson Tahoe Physician Clinics, a 105-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
6
Licensed in
MO
In the registry since
2020
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Practice location Address checks out

2773 Harris St Ste A
Eureka, CA 95503-4866
Phone: (707) 442-1182
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence F09200740 (MO)

Record details

NPI number1245837095
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 5, 2020
Last updated in NPPESNovember 10, 2021
Certification dateNovember 10, 2021
Mailing address2000 E Broadway # 264, Columbia, MO 65201-6009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Carson Tahoe Physician Clinics — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Eureka