MRS. DIANE T. RYDER (NPI# 1265492524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265492524 |
| Entity Type | Individual |
| Full Name | MRS. DIANE T. RYDER |
| Credential | LPA |
| Practice Address |
1430 Willow Ln West Park C61-2 North Wilkesboro NC 28659-3551 |
| Mailing Address |
1400 Willow Ln West Park C61-2 North Wilkesboro NC 28659-3551 |
| Practice Telephone | 3366675151 |
| Practice Fax Number | 3366675048 |
| Mailing Telephone | 3366675151 |
| Mailing Fax Number | 3366675048 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2017-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1958 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS OF NC | 135VN | 01 |
| NC | 6107297 | 05 |
| Street Address |
1430 WILLOW LN WEST PARK C61-2 |
| City | NORTH WILKESBORO |
| State | NC |
| Zip Code | 28659-3551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093784621 | James Kevin Laplante | Counselor | 1430 Willow Ln, West Park C61-2, North Wilkesboro, NC 28659-3551 | 2006-03-16 |
| 1467884403 | Thomas A Schlitt | Counselor | 1430 Willow Ln, North Wilkesboro, NC 28659-3551 | 2013-08-01 |
| 1174897607 | Joel Laron Perkins | Counselor | 1430 Willow Ln, Westpark C61-2, North Wilkesboro, NC 28659-3551 | 2012-03-01 |
| 1548534076 | Gloria Leigh Stone | Licensed Practical Nurse | 1430 Willow Ln, Westpark C61-2, North Wilkesboro, NC 28659-3551 | 2012-03-01 |
| 1972873636 | Benjamin Harding O'neal | Counselor | 1430 Willow Ln, Westpark C61-2, North Wilkesboro, NC 28659-3551 | 2012-01-11 |
| 1881964542 | Virginia L Triplett | Registered Nurse | 1430 Willow Ln, Westpark C61-2, North Wilkesboro, NC 28659-3551 | 2012-01-11 |
| 1699045351 | Pamela Jean Pritchard | Counselor | 1430 Willow Ln, Westpark C61-2, North Wilkesboro, NC 28659-3551 | 2012-01-11 |
| 1215207261 | Warren Alfred Martin Musick | Counselor | 1430 Willow Ln, Westpark C61-2, North Wilkesboro, NC 28659-3551 | 2012-01-09 |
| 1790054708 | Phillip Landon Jordan | Counselor | 1430 Willow Ln, Westpark C61-2 N, North Wilkesboro, NC 28659-3551 | 2011-12-20 |
| 1609145614 | Marie C Schindler | Counselor | 1430 Willow Ln, Westpark, North Wilkesboro, NC 28659-3551 | 2011-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013579689 | Lisa C Carr | Social Worker | 1400 Willow Ln # C61-2, North Wilkesboro, NC 28659 | 2019-07-03 |
| 1780141507 | Brenda Barber | Counselor | 200 Northview Plaza, North Wilkesboro, NC 28659 | 2019-02-28 |
| 1639696941 | Lifespan Incorporated | Community/Behavioral Health | 2070 River Road, North Wilkesboro, NC 28659 | 2017-08-28 |
| 1184146011 | Daymark Recovery Services Inc | Community/Behavioral Health | 200 C.c. Wright School Road, Classrooms 126, 127, North Wilkesboro, NC 28659 | 2017-07-12 |
| 1033568258 | Rgm Al Holdings, LLC | Assisted Living Facility | 240 Independence Ave, North Wilkesboro, NC 28659 | 2016-06-08 |
| 1376997999 | Hayden Church | Driver | 29 Boone Trail, North Wilkesboro, NC 28659 | 2016-04-20 |
| 1033563192 | Nathan Grant Davis | Emergency Medicine | Wake Forest Baptist Health- Wilkes Medical Center, 1370 W D St, North Wilkesboro, NC 28659 | 2016-04-14 |
| 1720425408 | Lindsay Brooke Spears | Dentist | 1915 West Park Drive Ste 104, Wilkes Public Health Dental West, North Wilkesboro, NC 28659 | 2013-06-04 |
| 1881983419 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 902 West D St, Ste B, North Wilkesboro, NC 28659 | 2011-04-05 |
| 1275838096 | Barium Springs Home for Children | Community Based Residential Treatment Facility, Mental Illness | 517 Boston Ave, North Wilkesboro, NC 28659 | 2011-01-26 |
| Find all providers in zip 28659 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708062 | Daniel Vanhoy Blalock | Psychologist | 411 W Chapel Hill St Ste 600, Durham, NC 27701-3270 | 2020-10-20 |
| 1770181059 | Blake Daniel Herd | Psychologist | 1501 Highwoods Blvd Ste 101, Greensboro, NC 27410-2051 | 2020-10-09 |
| 1306453832 | Hsiao-wen Wang | Psychologist | 8450 Falls of Neuse Rd Ste 200, Raleigh, NC 27615-3549 | 2020-09-29 |
| 1265048342 | Joseph Giles Winger | Psychologist | 2200 W Main St Erwin Square Plaza, Durham, NC 27710-0001 | 2020-09-23 |
| 1447877618 | Sarah M Amedoro | Psychologist | 930 Dillingham Rd, Barnardsville, NC 28709-9784 | 2020-07-02 |
| 1518584986 | Amber Nikole Bates | Psychologist | 83 W Moss Creek Dr, Clayton, NC 27520-6908 | 2020-07-01 |
| 1013530831 | Lari Meeker Jackson | Psychologist | 832 Laurel Garden Way, Cary, NC 27513-2046 | 2020-05-27 |
| 1124640537 | Katherine Ramos | Psychologist | 2200 W Main St Ste 300, Durham, NC 27705-4677 | 2020-05-08 |
| 1104447242 | Arbor Behavioral Health | Psychologist | 1100 Navaho Dr Ste 123, Raleigh, NC 27609-7359 | 2020-04-29 |
| 1679109300 | Carol D Nudelman | Psychologist | 10 Twinflower Trl, Asheville, NC 28804-0044 | 2020-03-13 |
| Find all providers with the same taxonomy | ||||
| City | NORTH WILKESBORO |
| Zip Code | 28659 |
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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.