SUE CAROL RIDDLE (NPI# 1942617667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942617667 |
| Entity Type | Individual |
| Full Name | SUE CAROL RIDDLE |
| Credential | APRN, NP-C |
| Practice Address |
210 Black Gold Blvd Hazard KY 41701-2620 |
| Practice Telephone | 6064360711 |
| Practice Fax Number | 6064360848 |
| Mailing Telephone | 6064360711 |
| Mailing Fax Number | 6064360848 |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3008754 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
210 BLACK GOLD BLVD |
| City | HAZARD |
| State | KY |
| Zip Code | 41701-2620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760484216 | Darian Ratliff | Internal Medicine | 210 Black Gold Blvd, Ste 106, Hazard, KY 41701-2620 | 2005-08-15 |
| 1326593575 | Kelli Jones | Pharmacist | 210 Black Gold Blvd, Suite 104, Hazard, KY 41701-2620 | 2016-08-17 |
| 1922478676 | Justin Barnes | Physical Therapist | 210 Black Gold Blvd, Hazard, KY 41701-2620 | 2015-10-06 |
| 1215306600 | Ashlei Beverly | Nurse Practitioner | 210 Black Gold Blvd, Ste 106, Hazard, KY 41701-2620 | 2015-09-16 |
| 1891178851 | Jacqueline Combs | Nurse Practitioner | 210 Black Gold Blvd, Ste 106, Hazard, KY 41701-2620 | 2015-07-08 |
| 1730578121 | Jacqueline Allen | Nurse Practitioner | 210 Black Gold Blvd, Ste 106, Hazard, KY 41701-2620 | 2015-01-22 |
| 1215331160 | Ashley A Taylor | Nurse Practitioner | 210 Black Gold Blvd, Ste 106, Hazard, KY 41701-2620 | 2014-10-21 |
| 1134520901 | Kristi Hall | Nurse Practitioner | 210 Black Gold Blvd, Ste 106, Hazard, KY 41701-2620 | 2014-09-11 |
| 1083038210 | Steven Hall | Nurse Practitioner | 210 Black Gold Blvd, Ste 106, Hazard, KY 41701-2620 | 2014-02-07 |
| 1598000580 | Sonya Asher | Physical Therapist | 210 Black Gold Blvd, Suite 103, Hazard, KY 41701-2620 | 2012-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557147 | Mercy Medical Clinic Pllc | Family Medicine | 14659 Us N Hwy 25e, Ste 16, Corbin, KY 41701 | 2018-05-09 |
| 1770080574 | John Corey Taylor | Student in an Organized Health Care Education/Training Program | 750 Morton Blvd., Hazard, KY 41701 | 2018-04-09 |
| 1700304714 | Kentucky River District Health Department | Public Health or Welfare | 72 Miss Edna Lane, Hazard, KY 41701 | 2017-08-30 |
| 1932637972 | Uvalyne Diane Preston | Dietitian, Registered | 210 Black Gold Blvd., Suite 107, Hazard Va Clinic, Hazard, KY 41701 | 2017-06-02 |
| 1124471370 | Family Center LLC | Specialist/Technologist, Other | 101 Town and Country Lane, Hazard, KY 41701 | 2016-07-22 |
| 1558730168 | Southgate Independent School District | Local Education Agency (LEA) | 6 William Blatt Ave, Southgate, KY 41701 | 2015-09-24 |
| 1285016980 | Jonathan Sizemore | Speech-Language Pathologist | 9821 Ky Hwy 476, Hazard, KY 41701 | 2015-06-18 |
| 1295126233 | Herbal Secrets | Skilled Nursing Facility | 202 Cliff View Lane, Hazard, KY 41701 | 2015-02-12 |
| 1417393414 | Bhg Xxvi, LLC | Case Management | 48 Independence Drive, Hazard, KY 41701 | 2013-05-16 |
| 1447585336 | Ace Clinique Pharmacy | Pharmacy | 207 Roy Campbell Dr, Hazard, KY 41701 | 2009-10-09 |
| Find all providers in zip 41701 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679195630 | Peter Jerome Youmans IIi | Nurse Practitioner | 101 Dennis Sandlin Md Cv, Hazard, KY 41701-1559 | 2020-05-13 |
| 1316305253 | Appalachian Health Care Inc | Nurse Practitioner | 48 Daniel Boone Plz Ste A, Hazard, KY 41701-5334 | 2016-02-07 |
| 1427039361 | Marilyn Ruth Osborne | Nurse Practitioner | 441 Gorman Hollow Rd, Hazard, KY 41701-2315 | 2005-11-08 |
| 1750385084 | Vera Hopper | Nurse Practitioner | 279 E Main St, Hazard, KY 41701-1920 | 2005-05-23 |
| 1124649694 | Lakeshia Jones | Nurse Practitioner | 57 Dennis Sandlin Md Cv, Hazard, KY 41701-1552 | 2020-05-06 |
| 1366076150 | Brittany April Morgan | Nurse Practitioner | 101 Town and Country Ln Ste 100, Hazard, KY 41701-9524 | 2020-03-02 |
| 1154966703 | Leandra G Smith | Nurse Practitioner | 101 Town and Country Ln Ste 100, Hazard, KY 41701-9524 | 2019-11-07 |
| 1053954263 | Rhonda K Hughes | Nurse Practitioner | 101 Town and Country Ln Ste 100, Hazard, KY 41701-9524 | 2019-10-21 |
| 1003467077 | Christie Hobson | Nurse Practitioner | 210 Black Gold Blvd Ste 106, Hazard, KY 41701-2620 | 2019-09-21 |
| 1316404296 | Rebecca Ann Francis | Nurse Practitioner | 210 Black Gold Blvd Ste 106, Hazard, KY 41701-2620 | 2019-02-27 |
| Find all providers in HAZARD | ||||
Please comment or provide details below to improve the information on SUE CAROL RIDDLE.
| 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.