MRS. AMBER N RIDGEWAY NP NPI 1649786906

NPI Information

NPI: 1649786906
Provider Name: MRS. AMBER N RIDGEWAY, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1770 E LAKE SHORE DR STE 105
DECATUR, IL
ZIP 62521
Phone: (217) 422-6100
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MRS. Amber N Ridgeway, NP is a family nurse practitioner in Decatur, IL with 7 years of experience. MRS. Amber N Ridgeway, NP NPI is 1649786906. 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:

1770 E LAKE SHORE DR STE 105
DECATUR, IL
ZIP 62521-800
Phone: (217) 422-6100
Fax: (833) 784-5326

The NPI 1649786906 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 12/22/2017 and was last updated on 12/20/2021.

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
1	363LF0000X	Nurse Practitioner	Family	209.016627	ILLINOIS	Yes
2	207RC0000X	Internal Medicine	Cardiovascular Disease	209.016627	ILLINOIS	No

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: 5/5/2024

NPI Synchronization or Removal

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