JAMES KENTON RIDDLE (NPI# 1306309059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306309059 |
| Entity Type | Individual |
| Full Name | JAMES KENTON RIDDLE |
| Credential | MD |
| Practice Address |
300 Carson St Jonesboro AR 72401-3104 |
| Practice Telephone | 8709107799 |
| Mailing Telephone | 8709107799 |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720219132 | James Todd Riddle | Counselor | 525 S Good Latimer Expy, #7205, Dallas, TX 75201-8408 | 2009-08-03 |
| 1093292401 | James Nicholas Riddle | Pharmacist | 87 Garner Rd, Spartanburg, SC 29303-3175 | 2018-07-27 |
| 1548567613 | James H Riddle | Pharmacist | 4380 Jefferson Davis Hwy, Beech Island, SC 29842-4864 | 2011-02-24 |
| 1225003973 | James Frank Riddle | Psychiatry & Neurology | 125 Alpine Circle, Columbia, SC 29223 | 2006-02-17 |
| Street Address |
300 CARSON ST |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225036924 | John Franklin Ball | Orthopaedic Surgery | 300 Carson St, Jonesboro, AR 72401-3104 | 2005-07-07 |
| 1497376040 | Zachary Carter Lee | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2020-05-05 |
| 1598386344 | Austin Richardson | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2020-05-04 |
| 1225659014 | Derek M Childers | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2020-05-03 |
| 1881215697 | Joshua Buell | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2020-05-03 |
| 1912528704 | Anna Margarita De Feria | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2020-05-03 |
| 1184245037 | Hadia I Arzoun | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2020-05-01 |
| 1407410905 | Amanda Sale | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2019-04-30 |
| 1952864324 | Cameron Sandefur | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2019-04-11 |
| 1346721545 | Jana Gail Haskins | Social Worker | 300 Carson St, Jonesboro, AR 72401-3104 | 2018-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952922866 | Nnena Ezeabasili | Student in an Organized Health Care Education/Training Program | 9491 Rollinghills Dr, Jonesboro, GA 30238-4109 | 2020-05-01 |
| 1194346304 | Toni Cecil | Student in an Organized Health Care Education/Training Program | 4505 Mockernut Ln, Jonesboro, AR 72405-7848 | 2020-04-28 |
| 1629697982 | Avril Alison Parker | Student in an Organized Health Care Education/Training Program | 1301 S Madison St, Jonesboro, AR 72401-4047 | 2020-04-15 |
| 1013571702 | Mira Rohit Patel | Student in an Organized Health Care Education/Training Program | 300 Carson St Ste A, Jonesboro, AR 72401-3104 | 2019-04-28 |
| 1427611227 | Nicholas Hogan | Student in an Organized Health Care Education/Training Program | 1515 Flint St, Jonesboro, AR 72401-4911 | 2019-04-17 |
| 1336635390 | Yuen Ching Chan | Student in an Organized Health Care Education/Training Program | 4800 Reserve Blvd Apt K6, Jonesboro, AR 72401-8315 | 2018-07-02 |
| 1053843888 | Morgan Maeger | Student in an Organized Health Care Education/Training Program | 5 Willow Creek Ln, Apartment 5210, Jonesboro, AR 72404-7997 | 2017-03-30 |
| 1356632368 | Daniel Bretton Schroeder | Student in an Organized Health Care Education/Training Program | 2220 Emerald Dr, Jonesboro, GA 30236-5224 | 2011-04-25 |
| 1598387417 | Logan Bevill | Student in an Organized Health Care Education/Training Program | 311 E Matthews Ave, Jonesboro, AR 72401-3125 | 2020-05-13 |
| 1497376040 | Zachary Carter Lee | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2020-05-05 |
| Find all providers in JONESBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.