KELLI KNOX RIDDLE (NPI# 1801938394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801938394 |
| Entity Type | Individual |
| Full Name | KELLI KNOX RIDDLE |
| Credential | PA |
| Practice Address |
1543 Professional Pkwy Auburn AL 36830-2858 |
| Practice Telephone | 3348219308 |
| Practice Fax Number | 8505228354 |
| Mailing Telephone | 3348219308 |
| Mailing Fax Number | 8505228354 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2013-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA440 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009913717 | 05 | |
| AL | 529920250 | 05 | |
| AL | 009913716 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841711264 | Kelli Riddle | Dentist | 8640 E State Road 70 Ste D, Bradenton, FL 34202 | 2017-07-06 |
| 1699827832 | Kelli Kay Riddle | Massage Therapist | 4775 Ballard Ave Nw, Seattle, WA 98107-4810 | 2007-01-17 |
| Street Address |
1543 PROFESSIONAL PKWY |
| City | AUBURN |
| State | AL |
| Zip Code | 36830-2858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275195901 | Stephanie Wei Lai | Dermatology | 1543 Professional Pkwy, Auburn, AL 36830-2858 | 2019-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366072878 | Jayson Patrick Hairston | Student in an Organized Health Care Education/Training Program | 1188 Opelika Rd Building 700 Unit 1, Auburn, AL 36830 | 2020-01-23 |
| 1477106417 | Dunn Psychological Services, LLC | Clinic/Center | 2204 Ogletree Village Lane, Suite B, Auburn, AL 36830 | 2019-07-18 |
| 1487117982 | East Alabama Apothecary LLC | Pharmacy | 665 Opelika Roade, Suite 400, Auburn, AL 36830 | 2019-04-11 |
| 1558822759 | Shelley Orthodontics LLC | Dentist | 1957 E. Samford Ave., Ste A, Auburn, AL 36830 | 2019-03-29 |
| 1811454903 | Auburn Pharmacy | Pharmacy | 643 North Dean Road, Auburn, AL 36830 | 2019-02-25 |
| 1386121473 | Joshua D Mathis Dds LLC | Clinic/Center | 2311 Bent Creek Rd., Ste 500, Auburn, AL 36830 | 2018-07-23 |
| 1790213866 | Amy Morton Dean | Pharmacist | 717 Queens, Auburn, AL 36830 | 2017-06-01 |
| 1629519558 | Laura Walton Bell | Nurse Practitioner | 1702 Catherine Ct, Auburn, AL 36830 | 2017-03-11 |
| 1952857229 | North Dean Dental, P.C. | Clinic/Center | 867 North Dean Road, Auburn, AL 36830 | 2016-08-28 |
| 1871960302 | Beverly Harrison Doyle | Physical Therapist | 2515 E. Glenn Ave., Ste 104, Auburn, AL 36830 | 2015-09-01 |
| Find all providers in zip 36830 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760009724 | Brenna Rasmussen | Physician Assistant | 88 Elmwood Rd, Auburn, ME 04210-6510 | 2020-06-25 |
| 1891235800 | Dekalb Health Memorial Hosptial Inc | Physician Assistant | 916 W. Seventh St., Auburn, IN 46706-2013 | 2017-02-24 |
| 1043671605 | Stefanie Morgan Wozmak | Physician Assistant | 137 Mcevoy Dr, Auburn, NH 03032-3930 | 2016-03-10 |
| 1063838258 | Robert Bogdasarian | Physician Assistant | 460 Southbridge St, Auburn, MA 01501-2442 | 2014-03-12 |
| 1801995618 | Thomas E Burkert | Physician Assistant | 77 Nelson Street, Suite 320, Amms, PC, Auburn, NY 13021 | 2006-09-21 |
| 1285746057 | Patrick Raymond Decommer | Physician Assistant | 3227 Professional Dr, Suite A, Auburn, CA 95602-2414 | 2006-08-31 |
| 1316987092 | Kara Lynn Perez | Physician Assistant | 310 6th St Ne, Auburn, WA 98002-4342 | 2006-06-08 |
| 1518912187 | Delinah M Anderson | Physician Assistant | 120 E Midland Rd, Auburn, MI 48611-9780 | 2006-05-23 |
| 1255391793 | Mark Henry Leinwand | Physician Assistant | 13 North Fulton Street, Auburn, NY 13021 | 2006-03-27 |
| 1457322703 | Michael J Jensen | Physician Assistant | 202 Cross St Se, Auburn, WA 98002-5406 | 2006-01-26 |
| Find all providers in AUBURN | ||||
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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.