JESSICA RIDDLE


Address: 1935 Medical District Dr, Dallas, TX 75235-7701
Phone: 2144567000

JESSICA RIDDLE (NPI# 1487908273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487908273
Entity Type Individual
Full Name JESSICA RIDDLE
Credential PNP-AC
Practice Address 1935 Medical District Dr
Dallas
TX 75235-7701
Mailing Address 2650 Cedar Springs Rd Apt 6617
Dallas
TX 75201-1479
Practice Telephone 2144567000
Enumeration Date 2012-11-01
Last Update Date 2015-03-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
827508 TX Physician Assistants & Advanced Practice Nursing Providers

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1184052573 Jessica Fowler Riddle Physical Therapist 59 Oakdale Rd, Brevard, NC 28712-3017 2013-10-22
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1306457643 Jessica Sandra Riddle Behavior Technician 7700 Irvine Center Dr, Irvine, CA 92618-2923 2020-08-11
1053683714 Jessica Lane Riddle Occupational Therapist 108 Energy Pkwy, Lafayette, LA 70508-3818 2012-01-27
1205146974 Jessica Riddle Counselor 321 E Main St, Morehead, KY 40351-1671 2010-10-15

Office Location

Street Address 1935 MEDICAL DISTRICT DR
City DALLAS
State TX
Zip Code 75235-7701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689670929 Donald Ray Cochran Anesthesiology 1935 Medical District Dr, Maildrop B3.02, Dallas, TX 75235-7701 2005-06-22
1437759842 Kira Ann Snyder Nurse Practitioner 1935 Medical District Dr, Dallas, TX 75235-7701 2020-10-27
1063011245 Dana Marie Mckay Dietitian, Registered 1935 Medical District Dr, Dallas, TX 75235-7701 2020-10-20
1508472374 Marcia Michele Seebachan Social Worker 1935 Medical District Dr, Dallas, TX 75235-7701 2020-09-17
1811509474 Zehneel Jiwani Anesthesiologist Assistant 1935 Medical District Dr, Dallas, TX 75235-7701 2020-08-17
1477165066 Deisy R Ybarra Counselor 1935 Medical District Dr, Dallas, TX 75235-7701 2020-08-17
1285242933 Stephanie Lynn Spencer Nurse Practitioner 1935 Medical District Dr, Dallas, TX 75235-7701 2020-07-20
1790393627 Cameron Leigh Keylor Student in an Organized Health Care Education/Training Program 1935 Medical District Dr, Dallas, TX 75235-7701 2020-07-16
1689292807 Coralie Ciceron Student in an Organized Health Care Education/Training Program 1935 Medical District Dr, Dallas, TX 75235-7701 2020-07-14
1568070738 Beth Renae Shell Registered Nurse 1935 Medical District Dr, Dallas, TX 75235-7701 2020-07-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265058895 Kailey Elaine Flowers Physical Therapy Assistant 2400 Empire Central Drive, Suite B, Dallas, TX 75235 2020-06-19
1265061071 Bella Xinyi O'malley Student in an Organized Health Care Education/Training Program 1935 Medical Drive, Dallas, TX 75235 2020-04-03
1427687318 Can Ozlu Student in an Organized Health Care Education/Training Program Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 2020-04-03
1689137515 Tarek Mansi Student in an Organized Health Care Education/Training Program 2222 Medical District Dr Apt 4325, Dallas, TX 75235 2019-04-08
1386117125 Christine Elizabeth Smith Physician Assistant 8134 Tex Oak Avenue, Dallas, TX 75235 2019-01-04
1447720016 Michelle Angelina Dye Physician Assistant 5959 Maple Avenue Apt 1171, Dallas, TX 75235 2018-11-27
1255869335 Andrea Nicole Pennington-peace Specialist/Technologist, Other 1935 Medial District, Dallas, TX 75235 2017-06-01
1194258152 Tricia Rood Student in an Organized Health Care Education/Training Program 5200 Harry Hines Blvd., Dallas, TX 75235 2017-04-06
1437690971 Robin Lee Counselor 8915 Hrry Hines Blvd, Dallas, TX 75235 2017-03-16
1871033746 Javier Davila-lopez Counselor 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 2017-02-27
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1518592534 Raven Aravind Nurse Practitioner 1900 Caddo Street, Number 4, Dallas, TX 75204-4223 2020-03-10
1366090417 Maria Whitney Nance Nurse Practitioner 7777 Forest Ln Ste D308, Dallas, TX 75230-2571 2019-09-02
1336708361 Sunny Dedmon Nurse Practitioner 3225 Turtle Creek Blvd Apt 520, Dallas, TX 75219-5461 2019-06-12
1306401419 Quatina Lasha Rivers-fleming Nurse Practitioner 522 Ivy Chase Loop, Dallas, GA 30157-0946 2019-05-03
1679136220 Marvise Ijeoma Oduagu Nurse Practitioner 305 W Commerce St Apt 336, Dallas, TX 75208-1985 2019-04-19
1851860365 Yoon Jung Ra Nurse Practitioner 2610 Allen St Apt 5410, Dallas, TX 75204-2447 2018-11-14
1134696453 Mitchell Grayson Kelly Nurse Practitioner 5323 Harry Hines Blvd Mailcode 8590, Dallas, TX 75390-0001 2018-10-24
1710411822 Latosca Brunner Nurse Practitioner 221 W Beckley Blvd, Pavilion 2 Suite 929, Dallas, TX 75202 2017-04-14
1376900746 Lashandra Gray Nurse Practitioner 9111 Prairie Bluff Dr, Dallas, TX 75227-5245 2016-01-15
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Competitor

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City DALLAS
Zip Code 75235

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Dataset Information

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.

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