AMANDA RIDDLE NPI 1689452658

NPI Information

  • NPI: 1689452658
  • Provider Name: AMANDA RIDDLE
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • Address: 1301 PENNSYLVANIA AVE
    FORT WORTH, TX
    ZIP 76104
  • Phone: (817) 250-4634

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NPI Details

Amanda Riddle is an acute care nurse practitioner in Fort Worth, TX. Amanda Riddle NPI is 1689452658. 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:

1301 PENNSYLVANIA AVE
FORT WORTH, TX
ZIP 76104-122
Phone: (817) 250-4634

The enumeration date for this NPI number is 9/20/2023 and was last updated on 9/20/2023.

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
1363LA2100XNurse PractitionerAcute Care1134077TEXASYes
2363LG0600XNurse PractitionerGerontology1134077TEXASNo

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

NPI Synchronization or Removal

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