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KRISTI JEANETTE RIDDLE FNP NPI 1568452837


NPI Information

NPI: 1568452837
Provider Name: KRISTI JEANETTE RIDDLE, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: WEST TENNESSEE MEDICAL GROUP, INC

PECOS Registration: Yes

Address:
700 W FOREST AVE
SUITE 200
JACKSON, TN
ZIP 38301
Phone: (731) 541-9490
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Kristi Jeanette Riddle, FNP is a family nurse practitioner in Jackson, TN with 20 years of experience. Kristi Jeanette Riddle, FNP NPI is 1568452837. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

700 W FOREST AVE
SUITE 200
JACKSON, TN
ZIP 38301-937
Phone: (731) 541-9490
Fax: (731) 541-9485

The NPI 1568452837 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)

The enumeration date for this NPI number is 10/26/2005 and was last updated on 7/3/2013.


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 PractitionerFamily11216TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
136404411MEDICAIDTENNESSEE
236404411MEDICARE PINTENNESSEE
3Q43462MEDICARE UPINTENNESSEE
44156897OTHERTENNESSEEBLUE CROSS
536404412MEDICARE PINTENNESSEE
64204304OTHERTENNESSEEBCBS

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: 11/14/2023

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.