DR. STEPHANIE M RIDDLE (NPI# 1639398860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639398860 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE M RIDDLE |
| Credential | PHARMD CPP |
| Practice Address |
3511 W Market St Suite 100 Greensboro NC 27403-4443 |
| Mailing Address |
5116 Foxview Dr Pleasant Garden NC 27313-9572 |
| Practice Telephone | 3366323505 |
| Mailing Telephone | 3366768856 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
700008 | NC | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | CLINICAL PHARMACIST PRACT | 700008 | 01 |
| NC | DEA # | MM1023326 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750730578 | Stephanie Sutton Riddle | Nurse Practitioner | 316 Judy Ln, Americus, GA 31709-4461 | 2016-06-13 |
| Street Address |
3511 W MARKET ST SUITE 100 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27403-4443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942269766 | Keshavpal G Reddy | Psychiatry & Neurology | 3511 W Market St, Suite 100, Greensboro, NC 27403-4443 | 2006-03-21 |
| 1154706778 | Dorothy Ferguson Scifres | Physician Assistant | 3511 W Market St, Greensboro, NC 27403-4443 | 2015-07-24 |
| 1063810976 | Anna G Becker | Physician Assistant | 3511 W Market St, Ste A, Greensboro, NC 27403-4442 | 2014-12-09 |
| 1013269422 | Nichole Moore | Developmental Therapist | 3511 W Market St, Ste. B, Greensboro, NC 27403-4443 | 2012-10-09 |
| 1437420973 | K Reddy Psychiatry & Associates Pa | Psychiatry & Neurology | 3511 W Market St, Suite 100, Greensboro, NC 27403-4443 | 2012-01-13 |
| 1265663371 | Jo Andrea Hughes | Physician Assistant | 3511 W Market St, Ste100, Greensboro, NC 27403-4443 | 2009-08-06 |
| 1366640807 | Katherine Stokes Pickett | Physician Assistant | 3511 W Market St, Suite A, Greensboro, NC 27403-4442 | 2007-07-06 |
| 1003039884 | Paula Katz | Counselor | 3511 W Market St, Suite 100, Greensboro, NC 27403-4443 | 2007-04-10 |
| 1699893495 | Gina Bowden | Developmental Therapist | 3511 W Market St, Suite B, Greensboro, NC 27403-4443 | 2007-03-27 |
| 1275672776 | Rebecca Austin Smith | Counselor | 3511 W Market St, Greensboro, NC 27403-4443 | 2007-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518581412 | Tina Tate | Nurse Practitioner | Behavioral Health Hospital, 700 Walter Reed Drive, Greensboro, NC 27403 | 2020-06-05 |
| 1609438514 | Gail Corneau | Psychologist | Uncg Psychology Clinic, 1100 West Market Street, Greensboro, NC 27403 | 2019-07-01 |
| 1528527298 | Kendall Austin Macdonald | Hearing Instrument Specialist | 2823 A Spring Garden St, Suite A, Greensboro, NC 27403 | 2019-03-13 |
| 1093292237 | Andrew Robertson | Pharmacist | 1903 W. Florida St, Greensboro, NC 27403 | 2018-07-20 |
| 1447778071 | Bac Developmental Program Inc | Day Training, Developmentally Disabled Services | 2203 Coliseum Blvd, Greensboro, NC 27403 | 2017-09-04 |
| 1144607128 | Waldo's Optical | Eyewear Supplier (Equipment, not the service) | 2500 Spring Garden St., Suite C, Greensboro, NC 27403 | 2015-04-29 |
| 1851703144 | Tedra Slade | Social Worker | 612 Pasteur Dr., Suite 300, Greensboro, NC 27403 | 2014-05-21 |
| 1336568807 | Brian Sninsky | Urology | Alliance Urology Specialists, Pa, 509 N. Elam Ave., 2nd Floor, Greensboro, NC 27403 | 2014-04-14 |
| 1003237785 | Peter Reich | Counselor | 907 Englewood St, Greensboro, NC 27403 | 2013-12-23 |
| 1508295429 | Alexander Wilson Lpc Inc | Counselor | 3719 West Market Street, Suite B, Greensboro, NC 27403 | 2013-11-01 |
| Find all providers in zip 27403 | ||||
| Taxonomy Code | 1835P1300X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Psychiatric |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003327180 | Jordan Tryhubenko | Pharmacist | Old N. Carolina Hwy 75, Butner, NC 27509 | 2017-10-17 |
| 1447779210 | Laura Enman | Pharmacist | Po Box 1600, Butner, NC 27509-4600 | 2017-09-13 |
| 1184697716 | Vickie Corbett Ripley | Pharmacist | 2301 Medpark Dr, Coastal Plain Hospital, Rocky Mount, NC 27804-2288 | 2006-02-13 |
| 1861499105 | Valerie G. Brooks | Pharmacist | 2500 Blue Ridge Rd, Suite 330, Raleigh, NC 27607-6469 | 2005-07-01 |
| 1538714217 | Elizabeth Taber | Pharmacist | 300 Veazey Dr, Butner, NC 27509-1668 | 2019-08-08 |
| 1215420088 | Elizabeth Rose Perry | Pharmacist | Old N. Carolina Hwy 75, Butner, NC 27509 | 2018-06-07 |
| 1518411172 | Donald Allen Thompson IIi | Pharmacist | 300 Veazey Dr, Butner, NC 27509-1668 | 2016-08-11 |
| 1093053191 | Shauna Sutton Garris | Pharmacist | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2013-01-24 |
| 1437431400 | Lelia Ann Mitchener | Pharmacist | 300 Veazey Dr, Butner, NC 27509-1668 | 2011-09-15 |
| 1154587970 | Tammy J Smith | Pharmacist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2008-07-31 |
| Find all providers with the same taxonomy | ||||
| City | GREENSBORO |
| Zip Code | 27403 |
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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.