Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. RANDAL ANTHONY RILEY JR. RN
NPI 1124503776
Registered Nurse in Milwaukee, WI

Active since September 29, 2018
3319 S 68TH ST, MILWAUKEE, WI 53219(414) 412-5088 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 17, 2026, May 7, 2020, Sep 29, 2018 (3 updates tracked since 2018).

About Mr. Randal Anthony Riley Jr. Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RANDAL ANTHONY RILEY JR. RN (NPI 1124503776) is an individual registered nurse in Milwaukee, Wisconsin, licensed in Wisconsin (252849-30) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1124503776
Entity TypeIndividualMale
Primary Taxonomy163W00000X
Provider Legal NameMR. RANDAL ANTHONY RILEY JR.Credential: RN
Location Address3319 S 68TH STMilwaukee, WI 53219-4030
Mailing Address3319 S 68th StMilwaukee, WI 53219-4030 · (414) 412-5088
Sole ProprietorYes
Enumeration DateSeptember 29, 2018
Last NPPES UpdateAugust 17, 20263 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
NPI 1124503776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in WI · 252849-30
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License 321568 (WI)
3319 S 68TH ST, Milwaukee, WI 53219

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

In Home Supportive Care
3319 S 68TH ST
MILWAUKEE, WI 53219

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randal Riley's NPI number?

The NPI number for Randal Riley is 1124503776. It was assigned to this individual provider in the NPPES registry on September 29, 2018.

Where is Randal Riley located?

Randal Riley practices at 3319 S 68th St, Milwaukee, WI 53219. The listed phone number is (414) 412-5088.

What is Randal Riley's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Randal Riley was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.