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

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