LAUREN RIDDLE (NPI# 1710368105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710368105 |
| Entity Type | Individual |
| Full Name | LAUREN RIDDLE |
| Other Name | LAUREN STORBAKKEN |
| Credential | MD |
| Practice Address |
1600 Providence Dr Attn: Traci Mitchell - Admn Waco TX 76707 |
| Mailing Address |
1600 Providence Dr Attn: Traci Mitchell - Admn Waco TX 76707-2261 |
| Practice Telephone | 2543134200 |
| Practice Fax Number | 2543134326 |
| Mailing Telephone | 2543134200 |
| Mailing Fax Number | 2543134326 |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2018-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | R1136 | TX | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | BP10054658 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1600 PROVIDENCE DR ATTN: TRACI MITCHELL - ADMN |
| City | WACO |
| State | TX |
| Zip Code | 76707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900531 | Matthew Rafalski | Family Medicine | 1600 Providence Dr, Waco, TX 76707-2261 | 2005-05-27 |
| 1083228621 | Jourdan Brown Whorley | Physician Assistant | 1600 Providence Dr, Waco, TX 76707-2261 | 2020-09-01 |
| 1538778543 | Hilda Ana Deen | Nurse Practitioner | 1600 Providence Dr, Waco, TX 76707-2261 | 2020-07-26 |
| 1427673128 | Allison Dawn Thompson | Family Medicine | 1600 Providence Dr, Waco, TX 76707-2261 | 2020-06-09 |
| 1245855949 | Thien Phu Nguyen | Family Medicine | 1600 Providence Dr, Waco, TX 76707-2261 | 2020-06-09 |
| 1134744824 | William Casey Dean | Family Medicine | 1600 Providence Dr, Waco, TX 76707-2261 | 2020-06-09 |
| 1306461090 | Corey Ryan Holt | Family Medicine | 1600 Providence Dr, Waco, TX 76707-2261 | 2020-06-09 |
| 1821613514 | Kathryn Leah Kline | Family Medicine | 1600 Providence Dr, Waco, TX 76707-2261 | 2020-06-09 |
| 1346865037 | Michael Thomas Boone | Family Medicine | 1600 Providence Dr, Waco, TX 76707-2261 | 2020-06-09 |
| 1295350999 | Amanda Elizabeth Weaver | Family Medicine | 1600 Providence Dr, Waco, TX 76707-2261 | 2020-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588184493 | Yukiyo Shimosawa | Specialist/Technologist | 1010 N 17th St, Waco, TX 76707 | 2017-06-21 |
| 1851730022 | Krystal Ann Estrada | Family Medicine | 1600 Providence Drive, Waco, TX 76707 | 2013-06-20 |
| 1598902744 | Narconon Hawaii | Substance Abuse Rehabilitation Facility | 90-1011 Lexington Avenue, Kapolei, HI 76707 | 2009-01-09 |
| 1851413520 | Albert Bryan Lewter Jr. | Dentist | 1501 N 25th St, Waco, TX 76707 | 2007-04-04 |
| 1114010733 | Remmel Henry | Dentist | 225 W. West Waco Dr., Waco, TX 76707 | 2006-10-02 |
| 1861831034 | Ryan David Laschober | Family Medicine | 1600 Providence Drive, Waco, TX 76707 | 2013-06-20 |
| 1760821946 | Brandi Escalante Street | Family Medicine | 1600 Providence Drive, Waco, TX 76707 | 2013-06-20 |
| 1972778199 | Jason Craig | Counselor | 3621 Lasker Ave, Waco, TX 76707-1111 | 2008-04-29 |
| 1649831298 | Melanie Adams | Social Worker | 3617 Maple Ave, Waco, TX 76707-1117 | 2019-06-25 |
| 1538721246 | Jessica Marie Simon | Nurse Practitioner | 3613 Trice Ave, Waco, TX 76707-1127 | 2019-07-02 |
| Find all providers in zip 76707 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548881477 | Gp Medical Services, LLC | Family Medicine | 7200 Westover Rd, Waco, TX 76710-1084 | 2020-05-01 |
| 1265917959 | Martindale Family Medicine Clinic Pa | Family Medicine | 7104 New Sanger Ave, Waco, TX 76712-3928 | 2018-09-27 |
| 1417486812 | Van Kim Nguyen | Family Medicine | 1600 Providence Dr., Waco, TX 76707-2261 | 2017-06-08 |
| 1831596642 | Kerry Irons | Family Medicine | 2712 Cresthill Cir, Waco, TX 76710-1016 | 2014-11-21 |
| 1851730022 | Krystal Ann Estrada | Family Medicine | 1600 Providence Drive, Waco, TX 76707 | 2013-06-20 |
| 1144664061 | Sid Jones X | Family Medicine | 5010 Lakeland Cir Ste A, Waco, TX 76710-2981 | 2013-04-22 |
| 1033450044 | Careconnect Medical Group P.l.l.c | Family Medicine | 1600 Lake Shore Dr Apt 121, Waco, TX 76708-3702 | 2013-03-15 |
| 1942584255 | Heart of Texas Community Health Center, Inc. | Family Medicine | 4601 N 19th St, Waco, TX 76708-1261 | 2011-10-05 |
| 1477837730 | Heart of Texas Community Health Center, Inc. | Family Medicine | 1911 N Martin Luther King Jr Blvd, Waco, TX 76704-1438 | 2011-10-05 |
| 1730478777 | Garret Pool | Family Medicine | 600 Franklin Ave, Suite B-c, Waco, TX 76701-0002 | 2011-03-30 |
| Find all providers in WACO | ||||
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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.