MRS. AMIE WOLVERTON RIDDLE (NPI# 1477005007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477005007 |
| Entity Type | Individual |
| Full Name | MRS. AMIE WOLVERTON RIDDLE |
| Credential | PMHNP-BC |
| Practice Address |
320 Silver Canyon Dr Fort Worth TX 76108-9612 |
| Mailing Address |
6320 Southwest Blvd Suite 207 Benbrook TX 76109-6965 |
| Practice Telephone | 8177347981 |
| Mailing Telephone | 8177354430 |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP132445 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
320 SILVER CANYON DR |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76108-9612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407488364 | Sharvari Patel | Physical Therapist | 800 Jim Wright Fwy Bldg #2, Fort Worth, TX 76108 | 2020-02-09 |
| 1053778118 | Texas Prosmiles Pllc | Dentist | 9400 Clifford Street, Ste 110, Fort Worth, TX 76108 | 2016-01-20 |
| 1609275981 | Palo Pinto County Hospital District | Skilled Nursing Facility | 7820 Sklyline Park Drive, White Settlement, TX 76108 | 2014-08-22 |
| 1508274895 | Tbhh Investments LLC | Home Health | 403 S Jim Wright Fwy, Ste 160, White Settlement, TX 76108 | 2014-07-30 |
| 1366854267 | Alex Bonnette | Physical Therapist | 9660 Bartlett Cir Ste 708, Fort Worth, TX 76108 | 2014-05-27 |
| 1598196446 | Cheryl Dawn Jorgenson | Pharmacist | 401 South Jim Wright Freeway, Suite 102, Fort Worth, TX 76108 | 2013-12-03 |
| 1760700017 | North Texas Ems | Ambulance | 321 Mesa Grande Dr, Fort Worth, TX 76108 | 2010-05-12 |
| 1801036868 | Gary Don Keel | Physician Assistant | #1 Lockheed Blvd., Lockheed Martin Aeronautics Company, Ft. Worth, TX 76108 | 2009-03-03 |
| 1942420211 | Tina Mclendon | Specialist/Technologist, Other | 332 Memory Dr, Fort Worth, TX 76108 | 2007-04-27 |
| 1700901766 | Jennifer E Gamez | Nurse Practitioner | 12001 S. Freeway Suite 205, Burleson, TX 76108 | 2007-03-20 |
| Find all providers in zip 76108 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386257814 | Daniel Oyewusi Oyewole | Nurse Practitioner | 4051 Hunters Creek Dr, Fort Worth, TX 76123-2549 | 2020-08-25 |
| 1174147037 | Ugbodu Ene Awoniyi | Nurse Practitioner | 4924 Cliburn Dr, Fort Worth, TX 76244-6130 | 2020-06-05 |
| 1346863925 | Lynnetta Vanice Cheeks | Nurse Practitioner | 6101 Saddlepack Dr, Fort Worth, TX 76123-1591 | 2020-05-18 |
| 1073143160 | Dorcas Mwangi | Nurse Practitioner | 4809 Campfire Ct, Fort Worth, TX 76244-7922 | 2020-01-17 |
| 1497390686 | Chigane Abraham | Nurse Practitioner | 8609 Glenburne Dr, Fort Worth, TX 76131 | 2019-11-12 |
| 1457895666 | Paul Geise | Nurse Practitioner | 3501 Ne Loop 820, #306, Fort Worth, TX 76137-2415 | 2016-12-06 |
| 1659742211 | Kamesha Roshun Mitchell | Nurse Practitioner | 3100 Hulen St, Fort Worth, TX 76107 | 2015-10-08 |
| 1255592424 | Akosua Serwaa Obeng | Nurse Practitioner | 8949 Silent Brook Ln, Fort Worth, Fort Worth, TX 76244-4946 | 2008-06-20 |
| 1154518470 | Dawn Dean | Nurse Practitioner | 124 Cooks Ln, Fort Worth, TX 76120-2016 | 2007-10-01 |
| 1528119831 | Jamie Tamaron Steinert | Nurse Practitioner | 2630 West Fwy Ste 230, Fort Worth, TX 76102-7171 | 2007-01-15 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76108 |
Please comment or provide details below to improve the information on MRS. AMIE WOLVERTON RIDDLE.
| 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.