GWENDOLYN R RIDDELL (NPI# 1033382213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033382213 |
| Entity Type | Individual |
| Full Name | GWENDOLYN R RIDDELL |
| Other Name | GWEN RIDDELL |
| Credential | CNM, APN |
| Practice Address |
751 Lombardi Ct Santa Rosa CA 95407-6793 |
| Mailing Address |
206a Boyce St Santa Rosa CA 95401-5426 |
| Practice Telephone | 7075472220 |
| Practice Fax Number | 7075472229 |
| Mailing Telephone | 7075454675 |
| Mailing Fax Number | 7075472229 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
209005275 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DEA | MR1235438 | 01 |
| Street Address |
751 LOMBARDI CT |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95407-6793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831163716 | Tara Jeanine Budinger | Psychologist | 751 Lombardi Ct, Santa Rosa, CA 95407-6798 | 2006-02-15 |
| 1982214870 | Roxanne Patricia Schleben | Nurse Practitioner | 751 Lombardi Ct, Santa Rosa, CA 95407-6798 | 2020-08-05 |
| 1952932709 | Benjamin Robert Zumwalt | Nurse Practitioner | 751 Lombardi Ct, Santa Rosa, CA 95407-6798 | 2020-01-30 |
| 1114569878 | Daisy Ariana Lopez | Nurse Practitioner | 751 Lombardi Ct, Santa Rosa, CA 95407-6798 | 2019-10-15 |
| 1912463407 | Krystal Annie Bodily | Family Medicine | 751 Lombardi Ct, Santa Rosa, CA 95407-6798 | 2019-02-20 |
| 1205309580 | Daniel Christopher Lopez | Nurse Practitioner | 751 Lombardi Ct, Santa Rosa, CA 95407-6798 | 2019-01-09 |
| 1508334327 | Sharon Sneddon | Nurse Practitioner | 751 Lombardi Ct, Santa Rosa, CA 95407-6798 | 2018-11-09 |
| 1801382494 | Michael Bastien Nowak | Registered Nurse | 751 Lombardi Ct, Santa Rosa, CA 95407-6798 | 2018-07-06 |
| 1417458654 | Eleanna Alexia Kennedy | Nurse Practitioner | 751 Lombardi Ct, Santa Rosa, CA 95407-6798 | 2018-02-22 |
| 1336657204 | Lluriana Bailon | Registered Nurse | 751 Lombardi Ct, Santa Rosa, CA 95407-6798 | 2018-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100477 | Charrise Reece | Case Management | 935 S Davis, Santa Rosa, CA 95407 | 2020-10-07 |
| 1629687256 | Suzel Anne-marie Deer | Registered Nurse | 1017 Stony Point Rd, Santa Rosa, CA 95407 | 2020-07-29 |
| 1285152884 | Mercedes Zipperle | Specialist/Technologist | 638 Athena Pl, Santa Rosa, CA 95407 | 2017-09-03 |
| 1235664988 | Priceless Transport Care LLC | Non-emergency Medical Transport (VAN) | 661 Powderhorn Ave, Santa Rosa, CA 95407 | 2017-05-01 |
| 1780139634 | Robin Shank Sanderson | Nurse Practitioner | 751 Lombardi, Santa Rosa, CA 95407 | 2016-08-22 |
| 1205207321 | Flaman Craig Mccloud Jr. | Counselor | 440 Arrowood Dr., Santa Rosa, CA 95407 | 2015-10-15 |
| 1548679400 | Jill Bauer | Dental Hygienist | 2740 Ironstone Circle, Santa Rosa, CA 95407 | 2014-08-05 |
| 1922413673 | Aurora Alejandra Gomez Selpides | Family Medicine | 2240 Mercury Way, Santa Rosa, CA 95407 | 2014-06-20 |
| 1508159955 | Luis Angel Gonzalez | Counselor | 1202 Apollo Way, Santa Rosa, CA 95407 | 2011-05-18 |
| 1326286295 | Kelly Alexis Rathmann | Social Worker | 3650 Standish Avenue, Santa Rosa, CA 95407 | 2009-01-29 |
| Find all providers in zip 95407 | ||||
| Taxonomy Code | 363LC1500X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316504590 | Adrian Sabalboro | Nurse Practitioner | 1450 E Cooley Dr, Colton, CA 92324-3933 | 2019-05-23 |
| 1255650537 | Shelly Anne Ferrari | Nurse Practitioner | 623 N Cullen Ave, Glendora, CA 91741-2124 | 2010-05-25 |
| 1598986192 | Lily Pe Khoshaba | Nurse Practitioner | 6596 N Winton Way, Winton, CA 95388-9532 | 2007-05-01 |
| 1235273749 | Dave Mallari Usman | Nurse Practitioner | 17982 Sky Park Cir Ste J, Irvine, CA 92614-6482 | 2007-02-16 |
| 1366584534 | Maria A Lascuna | Nurse Practitioner | 826 E Manning Ave, Reedley, CA 93654-2232 | 2007-02-13 |
| 1245371707 | Darla Schmunk | Nurse Practitioner | 43563 Hwy 299, Fall River Mills, CA 96028-0337 | 2007-02-09 |
| 1669510525 | Dale J Johnson | Nurse Practitioner | 7 Wharf Road, Bolinas Family Practice, Bolinas, CA 94924 | 2007-02-02 |
| 1972649275 | Charlene Ruth Williams | Nurse Practitioner | 670 Placerville Dr Ste 1b, Placerville, CA 95667-4200 | 2007-01-30 |
| 1053369439 | Elizabeth A Samuels | Nurse Practitioner | 7592 Broadway, Lemon Grove Family Health Center, Lemon Grove, CA 91945 | 2006-05-05 |
| 1578103800 | Gryan Eroll Robles Garcia | Nurse Practitioner | 18077 Outer Hwy 18 Ste 100, Apple Valley, CA 92307-2168 | 2020-01-15 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95407 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.