DIANA LYNN RIDDLE (NPI# 1770530347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770530347 |
| Entity Type | Individual |
| Full Name | DIANA LYNN RIDDLE |
| Credential | FNP |
| Practice Address |
238 Summar Dr Jackson TN 38301-3906 |
| Mailing Address |
1804 Highway 45 Byp Suite 604 Jackson TN 38305-4436 |
| Practice Telephone | 7319358200 |
| Practice Fax Number | 7319358327 |
| Mailing Telephone | 7316608759 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2012-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
59629 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114372240 | Diana Lynn Riddle | Nurse Practitioner | 216 5th St, Point Pleasant, WV 25550-1104 | 2016-04-26 |
| Street Address |
238 SUMMAR DR |
| City | JACKSON |
| State | TN |
| Zip Code | 38301-3906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497721609 | Pathways of Tennessee, Inc. | Clinic/Center | 238 Summar Dr, Jackson, TN 38301-3906 | 2006-02-27 |
| 1063041689 | Melinda Dunavant | Nurse Practitioner | 238 Summar Dr, Jackson, TN 38301-3906 | 2020-04-06 |
| 1417488701 | Jennifer Foster | Case Manager/Care Coordinator | 238 Summar Dr, Jackson, TN 38301-3906 | 2017-03-27 |
| 1326579699 | Courtney Burton | Counselor | 238 Summar Dr, Jackson, TN 38301-3906 | 2017-03-27 |
| 1285165563 | Robyn Crawford | Case Manager/Care Coordinator | 238 Summar Dr, Jackson, TN 38301-3906 | 2017-03-27 |
| 1528599883 | Sherry Boyd | Case Manager/Care Coordinator | 238 Summar Dr, Jackson, TN 38301-3906 | 2017-03-27 |
| 1457809147 | Toni Blocker | Case Manager/Care Coordinator | 238 Summar Dr, Jackson, TN 38301-3906 | 2016-09-12 |
| 1841747771 | Jackee' Williams | Case Manager/Care Coordinator | 238 Summar Dr, Jackson, TN 38301-3906 | 2016-09-08 |
| 1497107874 | Amy E Greer | Clinical Nurse Specialist | 238 Summar Dr, Jackson, TN 38301-3906 | 2016-07-08 |
| 1134588437 | John Gannaway | Counselor | 238 Summar Dr, Jackson, TN 38301-3906 | 2016-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
| 1366928087 | Primary Care - South Limited | Clinic/Center | 1385 South Highland Ave, Suite B-1, Jackson, TN 38301 | 2018-07-16 |
| 1629592522 | Tlc Home Care Services, LLC | In Home Supportive Care | 39 Old Denmark Rd, Jackson, TN 38301 | 2017-08-01 |
| 1841730421 | Southern Hands Quality Care | In Home Supportive Care | 1298 N. Highland Avenue. Suite 14, Jackson, TN 38301 | 2017-03-02 |
| 1881044477 | Katie Mcmickin | Counselor | 163 Sunnyside Dr, Jackson, TN 38301 | 2016-06-15 |
| 1164815064 | Hailey Archer | Dietitian, Registered | 720 W. Forest Ave., Jackson, TN 38301 | 2015-03-17 |
| 1740673714 | Regina Tignor | Nurse Practitioner | 1410 Us Highway 70 Byp, Jackson, TN 38301 | 2015-03-13 |
| 1194114033 | Woman's Clinic | Obstetrics & Gynecology | 242 Coatsland, Jackson, TN 38301 | 2015-01-15 |
| 1659797702 | Worthy Walker Arrington | Nurse Practitioner | 720 West Forest Avenue, Jackson, TN 38301 | 2014-03-13 |
| 1669717302 | Lift Wellness Inc | General Practice | 101 Jackson Walk Plaza, Jackson, TN 38301 | 2012-12-06 |
| Find all providers in zip 38301 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511981 | Nurture Mental Health & Wellness Center LLC | Nurse Practitioner | 125 S King St Ste 2a, Jackson, WY 83001-8124 | 2020-09-07 |
| 1811511819 | Aretha M. Northington | Nurse Practitioner | 1430 Wingfield Dr., Jackson, MS 39204-4448 | 2020-06-04 |
| 1760921225 | A Beautiful Mind LLC | Nurse Practitioner | 1856 Smallwood St, Jackson, MS 39212-2521 | 2017-02-16 |
| 1013302082 | Tiffany Griffin | Nurse Practitioner | 3450 Highway 80 West, Jackson, MS 39209 | 2015-04-06 |
| 1114311446 | Lakeisha Crye Green | Nurse Practitioner | 5568 Tiki Ln, Jackson, MS 39212-3657 | 2015-03-25 |
| 1205176716 | Robert White LLC | Nurse Practitioner | 2290 West County Line Rd, Suite 105, Jackson, NEW JERSEY 08527 | 2013-02-20 |
| 1699046235 | Matrix Wellness Solutions | Nurse Practitioner | 384 Carriage House Dr Ste D, Suite D, Jackson, TN 38305-2268 | 2012-01-12 |
| 1063721314 | Anna M Cook | Nurse Practitioner | 163 W Univeristy Parkway, Jackson, TN 38305 | 2010-10-05 |
| 1720245848 | Carol Jeanne Dove | Nurse Practitioner | 4044 Briggs Ct, Jackson, MI 49201-9033 | 2008-05-16 |
| 1730203415 | Sherry M Blackford | Nurse Practitioner | 238 Summar Drive, Jackson, TN 38301 | 2007-03-19 |
| Find all providers in JACKSON | ||||
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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.