DR. TERA RIDDICK NPI 1437683174

NPI Information

  • NPI: 1437683174
  • Provider Name: DR. TERA RIDDICK
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 107 XAVIER ST
    HATTIESBURG, MS
    ZIP 39401
  • Phone: (601) 310-9785

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NPI Details

DR. Tera Riddick is a family 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 8/19/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAP136023TEXASYes
2363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN11016385FLORIDANo
3363LP0808XNurse PractitionerPsychiatric/Mental Health0024182319VIRGINIANo
4363LP0808XNurse PractitionerPsychiatric/Mental Health902065MISSISSIPPINo
5363LP0808XNurse PractitionerPsychiatric/Mental Health403905NEW YORKNo
6363LP0808XNurse PractitionerPsychiatric/Mental Health95008223CALIFORNIANo
7363LP0808XNurse PractitionerPsychiatric/Mental Health12410130-4405UTAHNo
8363LP0808XNurse PractitionerPsychiatric/Mental Health4704337467MICHIGANNo
9363LP0808XNurse PractitionerPsychiatric/Mental Health847297NEVADANo
10363LP0808XNurse PractitionerPsychiatric/Mental Health277.001649ILLINOISNo
11363LP0808XNurse PractitionerPsychiatric/Mental HealthAP61207763WASHINGTONNo
12363LP0808XNurse PractitionerPsychiatric/Mental Health71519IDAHONo
13363LP0808XNurse PractitionerPsychiatric/Mental Health3017193KENTUCKYNo
14363LP0808XNurse PractitionerPsychiatric/Mental Health64961NEW MEXICONo
15363LP0808XNurse PractitionerPsychiatric/Mental HealthAP136023TEXASNo

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: 11/21/2025

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