MARIBETH RIDAY RN MSN RDH NPI 1720241474

NPI Information

NPI: 1720241474
Provider Name: MARIBETH RIDAY, RN, MSN, RDH
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1430 FREEDOM BLVD STE B
WATSONVILLE, CA
ZIP 95076
Phone: (831) 763-8200
Get Directions

Maribeth Riday, RN, MSN, RDH is a psychiatric/mental health nurse practitioner in Watsonville, CA with 15 years of experience. Maribeth Riday, RN, MSN, RDH NPI is 1720241474. 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:

1430 FREEDOM BLVD STE B
WATSONVILLE, CA
ZIP 95076-780
Phone: (831) 763-8200
Fax: (831) 454-4663

The NPI 1720241474 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 7/2/2008 and was last updated on 5/22/2015.

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	163W00000X	Registered Nurse		697504	CALIFORNIA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	18870	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	FHC40044F	OTHER	CALIFORNIA	SANTA CRUZ COUNTY MEDICAID GROUP NUMBER
2	18870	OTHER	CALIFORNIA	NURSE PRACTITIONER FURNISHING LICENSE
3	CA148810	MEDICARE PIN	CALIFORNIA
4	ZZZ91891Z	OTHER	CALIFORNIA	SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
5	CA148811	MEDICARE PIN	CALIFORNIA
6	ZZZ92069Z	OTHER	CALIFORNIA	SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
7	ZZZ91892Z	OTHER	CALIFORNIA	SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
8	2012001567	OTHER	CALIFORNIA	ANCC B CERTIFICATION#
9	CA148809	MEDICARE PIN	CALIFORNIA

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

NPI Synchronization or Removal

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