GLORIA NICOLE RIDER


Address: 1300 S 2nd St Ste 180, Minneapolis, MN 55454-5000
Phone: 6126251562

GLORIA NICOLE RIDER (NPI# 1700199296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700199296
Entity Type Individual
Full Name GLORIA NICOLE RIDER
Practice Address 1300 S 2nd St Ste 180
Minneapolis
MN 55454-5000
Mailing Address Po Box 8459
Portland
OR 97207-8459
Practice Telephone 6126251562
Practice Fax Number 6126268311
Mailing Telephone 5032380769
Enumeration Date 2010-07-26
Last Update Date 2018-07-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical 		LP6267 MN Behavioral Health & Social Service Providers
N 171M00000X Case Manager/Care Coordinator Other Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
847 Ne 19th Ave Ste 100, Portland, OR 972322684 5032380769

Office Location

Street Address 1300 S 2ND ST STE 180
City MINNEAPOLIS
State MN
Zip Code 55454-5000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245218254 Todd G Leech Physician Assistant 1300 S 2nd St Ste 180, Minneapolis, MN 55454-5000 2006-01-09
1023637535 Itor Finotelli Junior Student in an Organized Health Care Education/Training Program 1300 S 2nd St Ste 180, Minneapolis, MN 55454-5000 2020-04-14
1699264275 Ghazel Tellawi Student in an Organized Health Care Education/Training Program 1300 S 2nd St Ste 180, Minneapolis, MN 55454-5000 2018-05-09
1316435423 Alexander Kyle Tatum Student in an Organized Health Care Education/Training Program 1300 S 2nd St Ste 180, Minneapolis, MN 55454-5000 2018-04-24
1194240580 Janna Alene Dickenson Student in an Organized Health Care Education/Training Program 1300 S 2nd St Ste 180, Minneapolis, MN 55454-5000 2017-08-07
1376071316 Alexander G Kovic Psychologist 1300 S 2nd St Ste 180, Minneapolis, MN 55454-5000 2017-06-02
1003355843 Elliot Aaron Tebbe Psychologist 1300 S 2nd St Ste 180, Minneapolis, MN 55454-5000 2017-02-13
1922407980 University of Minnesota Physicians Counselor 1300 S 2nd St Ste 180, Minneapolis, MN 55454-5000 2014-08-15
1891054789 Abby Girard Marriage & Family Therapist 1300 S 2nd St Ste 180, Minneapolis, MN 55454-5000 2012-05-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194341842 Bruce Zhang Student in an Organized Health Care Education/Training Program 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 2020-06-18
1205456738 Sara Segner Student in an Organized Health Care Education/Training Program Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 2020-04-24
1417576844 Sabena Khan Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 2020-04-15
1811525983 Kayla Joy Solstad Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 2020-04-01
1720647126 Lauren Harasymiw Student in an Organized Health Care Education/Training Program Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 2019-06-10
1689237448 Katelyn Marie Adams Student in an Organized Health Care Education/Training Program Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 2019-04-17
1285197848 Adrienne Bruder Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 2019-04-10
1588142855 Stewart Graeme Morrison Student in an Organized Health Care Education/Training Program Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 2018-07-30
1831682251 Sherab Tsheringla Student in an Organized Health Care Education/Training Program 2450 Riverside Avenue South, Minneapolis, MN 55454 2018-06-11
1669962148 Pooja Elizabeth Mishra Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 2018-05-10
Find all providers in zip 55454

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861008567 Natalia V Potapova Psychologist 701 Park Ave # S1.110, Minneapolis, MN 55415-1623 2020-09-17
1962014167 Kate Esterline Psychologist 2724 University Ave Se Ste B, Minneapolis, MN 55414-3210 2020-08-19
1831740216 Seth Gordon Disner Psychologist 1 Veterans Dr # B68-2, Minneapolis, MN 55417-2309 2019-09-26
1366090763 Healing Therapy LLC Psychologist 1813 S 6th St Ste 201, Minneapolis, MN 55454-1208 2019-08-28
1891340469 Karin Fisher Psychologist 701 Park Ave # S1.260, Minneapolis, MN 55415-1623 2019-08-09
1053881698 Lauren Michelle Scholder Psychologist 401 Main St Se Apt 7009, Minneapolis, MN 55414 2018-11-27
1902306038 Ksa Psychological Services, LLC Psychologist 5603 Chicago Ave., Minneapolis, MN 55417 2018-02-15
1689030231 Oliver Ross Psychology and Consulting LLC Psychologist 3802 Grand Ave S, Suite A, Minneapolis, MN 55409-1233 2016-01-13
1295100881 Oliver Ross Psychologist 3802a Grand Avenue South, Minneapolis, MN 55409 2015-12-08
1841664190 Lakes Wellness Center LLC Psychologist 3248 Stevens Ave, Minneapolis, MN 55408-3214 2015-11-24
Find all providers in MINNEAPOLIS

Competitor

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City MINNEAPOLIS
Zip Code 55454

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Dataset Information

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.

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