STEPHANIE ANN RIDEAUX (NPI# 1760006415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760006415 |
| Entity Type | Individual |
| Full Name | STEPHANIE ANN RIDEAUX |
| Credential | DNP , WHNP-BC |
| Practice Address |
4824 E Baseline Rd Ste 129 Mesa AZ 85206-4679 |
| Practice Telephone | 4806441001 |
| Practice Fax Number | 4806441002 |
| Mailing Telephone | 4806441001 |
| Mailing Fax Number | 4806441002 |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2020-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
241579 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4824 E BASELINE RD STE 129 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-4679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639318991 | Thomas Michael Bickley | Obstetrics & Gynecology | 4824 E Baseline Rd Ste 129, Mesa, AZ 85206-4679 | 2009-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528459781 | Elizabeth Sadler | Nurse Practitioner | 4434 E Brown Rd Ste 102, Mesa, AZ 85205 | 2015-02-10 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1750501748 | Rosa Velia Hernandez-heeley | Nurse Practitioner | 455 N Mesa Dr Ste 11, Mesa, AZ 85201-5936 | 2007-05-01 |
| 1508197906 | Terri Luann Larkin | Nurse Practitioner | 10238 E Hampton Ave, Ste 507, Mesa, AZ 85209-3316 | 2010-01-25 |
| 1740518190 | Amy T An | Nurse Practitioner | 4344 E Presidio St, Mesa, AZ 85215-1143 | 2009-11-23 |
| 1457496002 | Linda C Mclaughlin | Nurse Practitioner | 1450 S Dobson Rd, Suite B221, Mesa, AZ 85202-4712 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801417860 | Health and Healing Clinic | Nurse Practitioner | 2044 Red Rock Loop Rd, Sedona, AZ 86336-9120 | 2020-04-30 |
| 1689234833 | Bethany Ann King | Nurse Practitioner | 10617 N Hayden Rd Ste 102, Scottsdale, AZ 85260-8200 | 2019-06-19 |
| 1881251437 | Amy Jean Snell | Nurse Practitioner | 501 N. Navajo Dr., Page, AZ 86040 | 2019-05-20 |
| 1639652654 | Janine Marie Hammond | Nurse Practitioner | 36375 N Gantzel Rd Ste 103, San Tan Valley, AZ 85140-7334 | 2018-09-14 |
| 1770919391 | Shannon Sherman | Nurse Practitioner | 2545 W Frye Rd Ste 5, Chandler, AZ 85224-6273 | 2013-09-16 |
| 1689926800 | Ashley Renee Torrey Fisher | Nurse Practitioner | 10240 West Indian School Road, 140, Phoenix, AZ 85037-5904 | 2012-10-11 |
| 1275889412 | Bella Vita Healthcare | Nurse Practitioner | 294 W State Route 89a Ste 209, Cottonwood, AZ 86326-3765 | 2012-07-25 |
| 1225395726 | Evelyn R Lopez | Nurse Practitioner | 9520 W Palm Ln Ste 200, Phoenix, AZ 85037-4403 | 2012-04-20 |
| 1851568158 | Melissa Ann Antognini | Nurse Practitioner | 14220 Northsight Blvd, Suite 150, Scottsdale, AZ 85260-3950 | 2008-05-15 |
| 1790955409 | Nina A Ulrich | Nurse Practitioner | 15351 W. Bell Rd., Suprise, AZ 85374 | 2008-03-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STEPHANIE ANN RIDEAUX.
| 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.