MRS. MICCA RACHEL RIEDEL (NPI# 1538439385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538439385 |
| Entity Type | Individual |
| Full Name | MRS. MICCA RACHEL RIEDEL |
| Other Name | MS. MICCA RACHEL ROBERTS |
| Credential | ANP-C, GNP-BC |
| Practice Address |
610 Strickland Dr Ste 130 Orange TX 77630-4786 |
| Practice Telephone | 4093304885 |
| Practice Fax Number | 4093304669 |
| Mailing Telephone | 4093304885 |
| Mailing Fax Number | 4093304669 |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2017-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
688868 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP121473 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
610 STRICKLAND DR STE 130 |
| City | ORANGE |
| State | TX |
| Zip Code | 77630-4786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093715443 | Elizabeth Jane Green | Nurse Practitioner | 610 Strickland Dr, Suite 140, Orange, TX 77630-4786 | 2005-07-28 |
| 1073971701 | Lsmrbt, Pllc | Nurse Practitioner | 610 Strickland Dr, Suite 380, Orange, TX 77630-4786 | 2016-02-09 |
| 1336529536 | Lsmr, Pllc | Nurse Practitioner | 610 Strickland Dr, Suite 130, Orange, TX 77630-4786 | 2015-06-02 |
| 1073936845 | Charlene Kress | Physical Therapist | 610 Strickland Dr, Orange, TX 77630-4786 | 2014-01-29 |
| 1295158368 | Christopher Stephen Williams | Nurse Practitioner | 610 Strickland Dr, Orange, TX 77630-4786 | 2014-01-27 |
| 1700151016 | David Palombo | Family Medicine | 610 Strickland Dr, Suite 200, Orange, TX 77630-4786 | 2012-03-20 |
| 1548555253 | Laura Olivia Pittman | Nurse Practitioner | 610 Strickland Dr, Ste 130, Orange, TX 77630-4788 | 2011-06-10 |
| 1407032782 | David R. Jones, Mdpa | Anesthesiology | 610 Strickland Dr, Suite 320, Orange, TX 77630-4786 | 2008-01-16 |
| 1265620371 | Samuel J. Pangburn, D.o., Pa | Surgery | 610 Strickland Dr, Suite 190, Orange, TX 77630-4786 | 2007-10-15 |
| 1548389463 | Ramin Moheb | Specialist | 610 Strickland Dr, Suite 380, Orange, TX 77630-4786 | 2007-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548685159 | Healthcare Warehouse, LLC | Durable Medical Equipment & Medical Supplies | 3515 Mockingbird St. Ste C, Orange, TX 77630 | 2014-02-19 |
| 1346688637 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 1302 Cypress St., Orange, TX 77630 | 2013-06-07 |
| 1740567510 | Mary Cannatella | Pharmacist | 1408 16th Street, Orange, TX 77630 | 2011-11-08 |
| 1811292642 | Inlightened Safe Haven | Contractor | 828 Nth 28th St., Orange, TX 77630 | 2011-01-26 |
| 1437472107 | Frank's Medical Mart, Inc | Durable Medical Equipment & Medical Supplies | 1619 Strickland Dr, Orange, TX 77630 | 2010-03-09 |
| 1952427403 | Assisted Living Concepts Inc | Assisted Living Facility | 5301 Meeks Drive, Orange, TX 77630 | 2007-03-22 |
| 1013033364 | Ronda Lynn Hathaway | Psychologist | 2495 N Mlk Dr, Orange, TX 77630 | 2007-03-21 |
| 1487790333 | The Eye Place, Inc. | Eyewear Supplier (Equipment, not the service) | 1502 Strickland Dr Ste 2, Orange, TX 77630 | 2007-01-29 |
| 1538220710 | Sheila R Cole | Nurse Practitioner | 2014 N.10th St., Orange, TX 77630 | 2006-12-12 |
| 1063583896 | Nina P Scales Leifeste | Dentist | 1509 Burton, Orange, TX 77630 | 2006-11-13 |
| Find all providers in zip 77630 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952816399 | Tonya Mechele Holman | Nurse Practitioner | 2324 Maxwell Cir, Orange, TX 77630-2219 | 2017-12-07 |
| 1114476546 | Christopher Defrancesco | Nurse Practitioner | 325 Boston Post Rd Ste 2f, Orange, CT 06477-3504 | 2016-09-27 |
| 1871948133 | Maria Anasis | Nurse Practitioner | 3432 E White Chapel Ct, Unit A, Orange, CA 92869-7518 | 2016-04-24 |
| 1831366087 | Tara Breaux | Nurse Practitioner | 610 Strickland Dr Ste 270, Orange, TX 77630-4788 | 2008-05-15 |
| 1053440826 | Kristin Marie Theetge | Nurse Practitioner | 1010 W La Veta Ave Ste 610, Orange, CA 92868-4306 | 2007-03-05 |
| 1679503916 | Brandy Nicole Rizzato | Nurse Practitioner | 610 Strickland Dr Ste 320, Orange, TX 77630-4788 | 2006-07-03 |
| 1679070387 | Murielle Exantus | Nurse Practitioner | 240 Indian River Rd, Orange, CT 06477-3649 | 2018-04-09 |
| 1831605641 | Segismundo Senense Millan Iv | Nurse Practitioner | 2041 W Orangewood Ave, Orange, CA 92868-1944 | 2017-12-17 |
| 1073971701 | Lsmrbt, Pllc | Nurse Practitioner | 610 Strickland Dr, Suite 380, Orange, TX 77630-4786 | 2016-02-09 |
| 1225496086 | Jane Brugman | Nurse Practitioner | 1100 W Stewart Dr, Orange, CA 92868-3849 | 2016-02-08 |
| Find all providers in ORANGE | ||||
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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.