NICOLE P RIDDLE (NPI# 1053920025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053920025 |
| Entity Type | Individual |
| Full Name | NICOLE P RIDDLE |
| Credential | RD |
| Practice Address |
534 Thoma St Boonville MO 65233-1051 |
| Practice Telephone | 6606313598 |
| Mailing Telephone | 6606313598 |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2020020010 | MO | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972952620 | Nicole Riddle | Counselor | 165 W Center St Ste 205, Ste 205, Marion, OH 43302-3741 | 2016-06-03 |
| 1215341789 | Nicole Riddle | Physical Therapist | 211 Van Scoyoc Ave Sw, Orting, WA 98360-7507 | 2014-06-12 |
| 1679774509 | Nicole Teresa Riddle | Psychologist | 2116 Wilshire Blvd Ste 104, Santa Monica, CA 90403 | 2007-05-29 |
| 1760833321 | Nicole Renee Riddle | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2016-06-24 |
| 1144479775 | Nicole Riddle | Counselor | 103 D St, Marysville, CA 95901-6017 | 2008-09-18 |
| 1497943518 | Nicole Demers Riddle | Pathology | 7703 Floyd Curl Dr, Pathology, Mc7750, San Antonio, TX 78229-3901 | 2007-10-15 |
| 1720126485 | Nicole R Riddle | Counselor | 401 Holston Drive, Greeneville, TN 37744 | 2007-02-02 |
| Street Address |
534 THOMA ST |
| City | BOONVILLE |
| State | MO |
| Zip Code | 65233-1051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750788022 | Aneisa Lynn Sherrill-mattox | Social Worker | 413 E Spring Street, Boonville, MO 65233 | 2014-12-02 |
| 1427216555 | Boonville Residential LLC | Assisted Living Facility | 600 Rankin Mill Lane, Boonville, MO 65233 | 2008-05-27 |
| 1851593479 | Cooper County Ambulance District | Ambulance | 17651 B Highway, Boonville, MO 65233 | 2007-06-05 |
| 1538181409 | Dancing Horizon Health Foundation, Inc. | Family Medicine | 2400 Boonslick Drive, Boonville, MO 65233 | 2006-07-23 |
| 1588697965 | Dialysis Clinic Inc. | Clinic/Center | 600 Rankin Mill Ln, Boonville, MO 65233 | 2006-07-08 |
| 1295767275 | Boonville No 1 Inc | Skilled Nursing Facility | 1450 W Ashley Rd, Boonville, MO 65233 | 2006-07-07 |
| 1730178864 | Pinnacle Regional Hospital, LLC | General Acute Care Hospital | 17651 B Hwy, Boonville, MO 65233 | 2005-10-20 |
| 1710477187 | Ashlyn Elizabeth Sappington | Dental Hygienist | 1115 Main St, Boonville, MO 65233 | 2018-05-11 |
| 1083825988 | Harold K Hombs | Dentist | 1115 Main, Boonville, MO 65233 | 2007-05-24 |
| 1548480601 | Pinnacle Regional Hospital, LLC | Medicare Defined Swing Bed Unit | 17651 B Hwy, Boonville, MO 65233 | 2007-04-30 |
| Find all providers in zip 65233 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285838037 | Nancy Marie Aldrich | Dietitian, Registered | 17651 B Hwy, Boonville, MO 65233-2839 | 2007-06-14 |
| 1831221597 | Robin Laine | Dietitian, Registered | 1116 Millis Ave, Boonville, IN 47601-2242 | 2007-03-09 |
| 1962533729 | Janelle R Weatherholt | Dietitian, Registered | 1116 Millis Ave, Boonville, IN 47601-2242 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080550 | Abigail Wozniak | Dietitian, Registered | 4057 Flad Ave, Saint Louis, MO 63110-3924 | 2020-10-13 |
| 1033717962 | Jon Kuanfung | Dietitian, Registered | 1210 S Boyle Ave, Saint Louis, MO 63110-3814 | 2020-10-13 |
| 1407453392 | Susan Shaffer | Dietitian, Registered | 4213 Sw Sapelo Dr, Lees Summit, MO 64082-5016 | 2020-10-05 |
| 1891302014 | Sarah Whitehead | Dietitian, Registered | 22665 Hanley Ln Apt B, Saint Robert, MO 65584-9537 | 2020-09-30 |
| 1750998472 | Courtney Paige Huff | Dietitian, Registered | 129 Westborough Dr, Troy, MO 63379-4443 | 2020-09-27 |
| 1275149841 | Kendall Stagner | Dietitian, Registered | 1 Martin Dr, Agency, MO 64401-9110 | 2020-09-19 |
| 1841805207 | Alma Hopkins | Dietitian, Registered | 805 Stratford Dr, Columbia, MO 65203-6403 | 2020-09-12 |
| 1750996286 | Rebecca Jennings | Dietitian, Registered | 5101 Clark Ln Apt 204, Columbia, MO 65202-9875 | 2020-09-11 |
| 1225642283 | Elizabeth Arensberg | Dietitian, Registered | 6433 Valley Rd, Kansas City, MO 64113-1555 | 2020-09-07 |
| 1952915001 | Melissa Coker | Dietitian, Registered | 1122 Gibraltar Point Dr, Saint Charles, MO 63304-5037 | 2020-09-06 |
| Find all providers with the same taxonomy | ||||
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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.