ANGIE C RIDDLE


Address: 1430 W Baddour Pkwy Ste A, Lebanon, TN 37087-2656
Phone: 6154430730

ANGIE C RIDDLE (NPI# 1962745356) 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) 1962745356
Entity Type Individual
Full Name ANGIE C RIDDLE
Credential CNP
Practice Address 1430 W Baddour Pkwy Ste A
Lebanon
TN 37087-2656
Mailing Address 403 Villa Cir
Lebanon
TN 37090-6524
Practice Telephone 6154430730
Mailing Telephone 6159578562
Enumeration Date 2013-04-03
Last Update Date 2013-04-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
17373 TN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1430 W BADDOUR PKWY STE A
City LEBANON
State TN
Zip Code 37087-2656

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154747889 Leabeth Macon Pack Nurse Practitioner 1430 W Baddour Pkwy Ste A, Lebanon, TN 37087-2656 2014-03-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467051698 Results-ast Jv, LLC Physical Therapist 1420 West Baddour Parkway, Suite 102, Lebanon, TN 37087 2020-10-19
1306405725 Angela Kurtz Hearing Instrument Specialist 1430 West Baddour Parkwayste D, Lebanon, TN 37087 2019-06-10
1164926937 Andrea Christine Morrisett Physical Therapist 404 N Castle Heights Ave Ste G, Lebanon, TN 37087 2018-03-19
1942731492 Rocky Mountain Holdings, LLC Ambulance 760d Franklin Rd, Lebanon, TN 37087 2017-03-27
1326409285 Karina Lawrence Speech-Language Pathologist 1006 Keaton Street, Lebanon, TN 37087 2016-03-18
1174910491 Yehualashet Bekele Hailemariam Internal Medicine 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 2015-04-24
1043614829 Jean Thompson Behavioral Analyst 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37087 2014-10-22
1588072771 La Keisha Fair Community Health Worker 1 Cumberland Square, Lebanon, TN 37087 2014-07-31
1023440609 James Martin Meadows Specialist/Technologist One Cumberland Square, Lebanon, TN 37087 2013-08-06
1336571231 Lori Ann De Leo Social Worker 109 Autumn Creek, Lebanon, TN 37087 2013-08-01
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720645161 Christine Rose Dobbs Nurse Practitioner 509 S 4th St, Lebanon, PA 17042-6806 2019-05-21
1770048787 Heather R Wells Nurse Practitioner 726 E Main St Ste F #205, Lebanon, OH 45036-1900 2019-02-04
1154686673 Stephanie Ruckman Nurse Practitioner 115 Moriah Dr, Lebanon, TN 37090-0731 2012-07-10
1629622204 Kelly Ann Wheeler Nurse Practitioner 252 S 4th St, Lebanon, PA 17042-6111 2019-07-31
1053874263 Maria Michelle Druckman Nurse Practitioner 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2019-04-13
1326567017 Keith Walter Edinger Nurse Practitioner 1700 South Lincoln Avenue, Lebanon, PA 17042 2017-09-13
1295196673 Amelia Jo Horn Nurse Practitioner 1600 W Main St, Lebanon, IN 46052 2016-03-14
1558600239 Carole L Putnam Nurse Practitioner 18 Old Etna Road, Sleep Medicine, Lebanon, NH 03766 2013-01-31
1528033016 Connie Elaine Rawls Nurse Practitioner 1420 W Baddour Pkwy, Suite 100, Lebanon, TN 37087-1510 2006-02-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750982658 Kirsten Marie Doerfer Nurse Practitioner 8512 Golden Cloud Ln, Knoxville, TN 37931-3164 2020-11-06
1912506551 Anna Simpson Jones Nurse Practitioner 1042 E 3rd St Ste 103, Chattanooga, TN 37403-2161 2020-10-24
1033724349 Tatum Lee Severino I Nurse Practitioner 8819 Three Chimneys Dr E, Germantown, TN 38138-8206 2020-09-14
1871106930 Munira Asif Nurse Practitioner 874 Schilling Farm Rd Apt 106, Collierville, TN 38017-7039 2020-08-28
1669000840 Tekeyla Warfield Nurse Practitioner 2980 Poplar Ave, Memphis, TN 38111-3527 2020-04-01
1578197836 Jessica Pratt Nurse Practitioner 512 Marbury Rd, Tullahoma, TN 37388-2142 2020-02-26
1730729278 Anna Abigail Markus Nurse Practitioner 211 Long Branch Rd, Lawrenceburg, TN 38464-5400 2020-01-13
1023653037 Staci Garner Nurse Practitioner 2508 Highway 130, Petersburg, TN 37144-8001 2019-11-13
1881238533 Janna Rae Haskins Nurse Practitioner 5137 Vinnie Dell Drive, Chapel Hill, TN 37034 2019-11-05
1124676325 Marde M Walker Nurse Practitioner 8225 Highway 51 North, Millington, TN 38053 2019-08-30
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Competitor

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City LEBANON
Zip Code 37087

Improve Information

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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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