MS. AMANDA MICHELLE RIDDLE (NPI# 1528358975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528358975 |
Entity Type | Individual |
Full Name | MS. AMANDA MICHELLE RIDDLE |
Credential | CADC |
Practice Address |
3715 N Business Dr Ste 104 Fayetteville AR 72703-5204 |
Mailing Address |
2153 E Joyce Blvd Ste 201 Fayetteville AR 72703-4714 |
Practice Telephone | 4795211532 |
Practice Fax Number | 4795219940 |
Mailing Telephone | 4795759471 |
Mailing Fax Number | 4795879392 |
Enumeration Date | 2011-04-19 |
Last Update Date | 2016-05-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 194359740 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558541029 | Amanda Leann Riddle | Pharmacist | 2438 1/2 Jack Creek Rd, Grand Junction, CO 81505-4902 | 2007-11-13 |
Street Address |
3715 N BUSINESS DR STE 104 |
City | FAYETTEVILLE |
State | AR |
Zip Code | 72703-5204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104806702 | Robert David Cannon | Pain Medicine | 3715 N Business Dr, Suite #101, Fayetteville, AR 72703-5204 | 2006-01-19 |
1518564616 | Luke Rallens | Case Manager/Care Coordinator | 3715 N Business Dr, Fayetteville, AR 72703-5204 | 2020-10-02 |
1174163950 | Elizabeth Dena Bell | Licensed Practical Nurse | 3715 N Business Dr, Fayetteville, AR 72703-5204 | 2020-01-09 |
1447740535 | Shamekia Daniels | Case Manager/Care Coordinator | 3715 N Business Dr, Fayetteville, AR 72703-5204 | 2018-05-14 |
1275035024 | Courtney Denise Bland | Case Manager/Care Coordinator | 3715 N Business Dr, Fayetteville, AR 72703-5204 | 2018-03-07 |
1831628528 | Lisa Calabrese | Registered Nurse | 3715 N Business Dr, Fayetteville, AR 72703-5204 | 2017-06-07 |
1376072215 | Ashley Michelle Patton | Counselor | 3715 N Business Dr, Fayetteville, AR 72703-5204 | 2017-06-05 |
1780111047 | Sean Patton | Health Educator | 3715 N Business Dr, Fayetteville, AR 72703-5204 | 2017-05-17 |
1598291478 | Trestletree, LLC | Social Worker | 3715 N Business Dr, Suite 202, Fayetteville, AR 72703-5204 | 2017-05-11 |
1427597673 | Melinda Farris | Case Manager/Care Coordinator | 3715 N Business Dr, Suite104, Fayetteville, AR 72703-5204 | 2017-02-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
Find all providers in zip 72703 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790390094 | Jessica Shellman | Counselor | 408 Person St. Ste 103, Fayetteville, NC 28301 | 2020-09-14 |
1831704691 | Adriana Londono | Counselor | 418 Person St Ste 103, Fayetteville, NC 28301-5886 | 2020-09-09 |
1881203487 | Finfa, Inc. | Counselor | 2026 Corrinna St, Fayetteville, NC 28301-3622 | 2020-07-29 |
1326657875 | Jeanette Middle Jordan-huffam Office | Counselor | 3911 W Bent Grass Dr, Fayetteville, NC 28312-8791 | 2020-07-29 |
1942824354 | Daytoria Marie Rhone | Counselor | 7816 Klondyke Dr, Fayetteville, NC 28311-9249 | 2020-06-01 |
1508486853 | Vivian M Davis | Counselor | 1022 Brookhollow Dr Apt 9, Fayetteville, NC 28314-1108 | 2020-04-16 |
1982255956 | Courtney Washington | Counselor | 1777 Michelle Ct, Fayetteville, NC 28304-5558 | 2019-09-21 |
1982251104 | Inspiring Change | Counselor | 111 Lamon St Ste 113, Fayetteville, NC 28301-4917 | 2019-08-22 |
1245887868 | Erica Graham | Counselor | 105 Bradford Sq Ste A, Fayetteville, GA 30215-1974 | 2019-08-19 |
1316502040 | Bettina Rochelle Melvin | Counselor | 1425 Avoncroft Dr, Fayetteville, NC 28306-3567 | 2019-05-08 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 72703 |
Please comment or provide details below to improve the information on MS. AMANDA MICHELLE 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.