JASON RYAN RIDENOUR FNP NPI 1740160167

NPI Information

  • NPI: 1740160167
  • Provider Name: JASON RYAN RIDENOUR, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 5160 E SOUTHPORT RD
    INDIANAPOLIS, IN
    ZIP 46237
  • Phone: (317) 672-2773

Map and Directions

Get Directions

NPI Details

Jason Ryan Ridenour, FNP is a family nurse practitioner in Indianapolis, IN. Jason Ryan Ridenour, FNP NPI is 1740160167. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5160 E SOUTHPORT RD
INDIANAPOLIS, IN
ZIP 46237-601
Phone: (317) 672-2773

The enumeration date for this NPI number is 9/5/2025 and was last updated on 9/5/2025.

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 PractitionerFamily71017046AINDIANAYes

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

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.