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DR. TERA RIDDICK NPI 1437683174


NPI Information

NPI: 1437683174
Provider Name: DR. TERA RIDDICK
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
107 XAVIER ST
HATTIESBURG, MS
ZIP 39401
Phone: (601) 310-9785
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DR. Tera Riddick is a psychiatric/mental health nurse practitioner in Hattiesburg, MS. DR. Tera Riddick NPI is 1437683174. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

107 XAVIER ST
HATTIESBURG, MS
ZIP 39401-618
Phone: (601) 310-9785

The NPI 1437683174 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/19/2017 and was last updated on 7/22/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyAP136023TEXASNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health4704337467MICHIGANNo
3363LP0808XNurse PractitionerPsychiatric/Mental Health847297NEVADANo
4363LP0808XNurse PractitionerPsychiatric/Mental Health64961NEW MEXICONo
5363LP0808XNurse PractitionerPsychiatric/Mental HealthAP136023TEXASNo
6363LP0808XNurse PractitionerPsychiatric/Mental Health277.001649ILLINOISNo
7363LP0808XNurse PractitionerPsychiatric/Mental HealthAP61207763WASHINGTONNo
8363LP0808XNurse PractitionerPsychiatric/Mental Health71519IDAHONo
9363LP0808XNurse PractitionerPsychiatric/Mental Health3017193KENTUCKYNo
10363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN11016385FLORIDANo
11363LP0808XNurse PractitionerPsychiatric/Mental Health403905NEW YORKNo
12363LP0808XNurse PractitionerPsychiatric/Mental Health95008223CALIFORNIANo
13363LP0808XNurse PractitionerPsychiatric/Mental Health12410130-4405UTAHNo
14363LP0808XNurse PractitionerPsychiatric/Mental Health0024182319VIRGINIANo
15363LP0808XNurse PractitionerPsychiatric/Mental Health902065MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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