DIANA LYNN RIDDLE


Address: 238 Summar Dr, Jackson, TN 38301-3906
Phone: 7319358200

DIANA LYNN RIDDLE (NPI# 1770530347) 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) 1770530347
Entity Type Individual
Full Name DIANA LYNN RIDDLE
Credential FNP
Practice Address 238 Summar Dr
Jackson
TN 38301-3906
Mailing Address 1804 Highway 45 Byp
Suite 604
Jackson
TN 38305-4436
Practice Telephone 7319358200
Practice Fax Number 7319358327
Mailing Telephone 7316608759
Enumeration Date 2006-05-28
Last Update Date 2012-05-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
59629 TN Physician Assistants & Advanced Practice Nursing Providers

Other Providers DIANA RIDDLE

NPI Name Taxonomy Address Enumeration
1114372240 Diana Lynn Riddle Nurse Practitioner 216 5th St, Point Pleasant, WV 25550-1104 2016-04-26

Office Location

Street Address 238 SUMMAR DR
City JACKSON
State TN
Zip Code 38301-3906

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497721609 Pathways of Tennessee, Inc. Clinic/Center 238 Summar Dr, Jackson, TN 38301-3906 2006-02-27
1063041689 Melinda Dunavant Nurse Practitioner 238 Summar Dr, Jackson, TN 38301-3906 2020-04-06
1417488701 Jennifer Foster Case Manager/Care Coordinator 238 Summar Dr, Jackson, TN 38301-3906 2017-03-27
1326579699 Courtney Burton Counselor 238 Summar Dr, Jackson, TN 38301-3906 2017-03-27
1285165563 Robyn Crawford Case Manager/Care Coordinator 238 Summar Dr, Jackson, TN 38301-3906 2017-03-27
1528599883 Sherry Boyd Case Manager/Care Coordinator 238 Summar Dr, Jackson, TN 38301-3906 2017-03-27
1457809147 Toni Blocker Case Manager/Care Coordinator 238 Summar Dr, Jackson, TN 38301-3906 2016-09-12
1841747771 Jackee' Williams Case Manager/Care Coordinator 238 Summar Dr, Jackson, TN 38301-3906 2016-09-08
1497107874 Amy E Greer Clinical Nurse Specialist 238 Summar Dr, Jackson, TN 38301-3906 2016-07-08
1134588437 John Gannaway Counselor 238 Summar Dr, Jackson, TN 38301-3906 2016-02-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124634696 Lindsey Crowder Social Worker 127 Mccowat Street, Jackson, TN 38301 2020-09-21
1366928087 Primary Care - South Limited Clinic/Center 1385 South Highland Ave, Suite B-1, Jackson, TN 38301 2018-07-16
1629592522 Tlc Home Care Services, LLC In Home Supportive Care 39 Old Denmark Rd, Jackson, TN 38301 2017-08-01
1841730421 Southern Hands Quality Care In Home Supportive Care 1298 N. Highland Avenue. Suite 14, Jackson, TN 38301 2017-03-02
1881044477 Katie Mcmickin Counselor 163 Sunnyside Dr, Jackson, TN 38301 2016-06-15
1164815064 Hailey Archer Dietitian, Registered 720 W. Forest Ave., Jackson, TN 38301 2015-03-17
1740673714 Regina Tignor Nurse Practitioner 1410 Us Highway 70 Byp, Jackson, TN 38301 2015-03-13
1194114033 Woman's Clinic Obstetrics & Gynecology 242 Coatsland, Jackson, TN 38301 2015-01-15
1659797702 Worthy Walker Arrington Nurse Practitioner 720 West Forest Avenue, Jackson, TN 38301 2014-03-13
1669717302 Lift Wellness Inc General Practice 101 Jackson Walk Plaza, Jackson, TN 38301 2012-12-06
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912511981 Nurture Mental Health & Wellness Center LLC Nurse Practitioner 125 S King St Ste 2a, Jackson, WY 83001-8124 2020-09-07
1811511819 Aretha M. Northington Nurse Practitioner 1430 Wingfield Dr., Jackson, MS 39204-4448 2020-06-04
1760921225 A Beautiful Mind LLC Nurse Practitioner 1856 Smallwood St, Jackson, MS 39212-2521 2017-02-16
1013302082 Tiffany Griffin Nurse Practitioner 3450 Highway 80 West, Jackson, MS 39209 2015-04-06
1114311446 Lakeisha Crye Green Nurse Practitioner 5568 Tiki Ln, Jackson, MS 39212-3657 2015-03-25
1205176716 Robert White LLC Nurse Practitioner 2290 West County Line Rd, Suite 105, Jackson, NEW JERSEY 08527 2013-02-20
1699046235 Matrix Wellness Solutions Nurse Practitioner 384 Carriage House Dr Ste D, Suite D, Jackson, TN 38305-2268 2012-01-12
1063721314 Anna M Cook Nurse Practitioner 163 W Univeristy Parkway, Jackson, TN 38305 2010-10-05
1720245848 Carol Jeanne Dove Nurse Practitioner 4044 Briggs Ct, Jackson, MI 49201-9033 2008-05-16
1730203415 Sherry M Blackford Nurse Practitioner 238 Summar Drive, Jackson, TN 38301 2007-03-19
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Competitor

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City JACKSON
Zip Code 38301

Improve Information

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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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