MR. ROBERT MYRON RIDLEY (NPI# 1891777264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891777264 |
| Entity Type | Individual |
| Full Name | MR. ROBERT MYRON RIDLEY |
| Credential | LPC |
| Practice Address |
441 E Broad St Suite H Cookeville TN 38501-3389 |
| Practice Telephone | 9315441096 |
| Practice Fax Number | 9314513774 |
| Mailing Telephone | 9315441096 |
| Mailing Fax Number | 9314513774 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2016-12-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC0000001599 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 5441348 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164414306 | Robert Low Ridley | Family Medicine | 2855 Dublin Blvd, Colorado Springs, CO 80918-1662 | 2005-08-15 |
| 1669697314 | Robert Ridley | Physical Therapist | 900 East Airport Road, Okmulgee, OK 74447 | 2007-04-16 |
| Street Address |
441 E BROAD ST SUITE H |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-3389 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083006191 | Karla Jean Duke | Counselor | 441 E Broad St, Suite B, Cookeville, TN 38501-3389 | 2015-02-26 |
| 1942617212 | Jearl Jerri Cross | Counselor | 441 E Broad St, Suite B, Cookeville, TN 38501-3389 | 2014-07-17 |
| 1639215627 | Lisa Renee Stewart | Counselor | 441 E Broad St, Suite G, Cookeville, TN 38501 | 2007-01-29 |
| 1477619948 | Emily Ray Rummel | Psychologist | 441 E Broad St, Suite N, Cookeville, TN 38501-3389 | 2006-12-29 |
| 1184787798 | Abby Lesowitz Eibel | Counselor | 441 E Broad St, Suite H, Cookeville, TN 38501-3389 | 2006-12-18 |
| 1861505620 | Jennifer Kelly | Social Worker | 441 E Broad St, Suite J, Cookeville, TN 38501 | 2006-08-16 |
| 1346298866 | Christopher Arlen Edwards | Psychologist | 441 E Broad St, Suite D, Cookeville, TN 38501-3389 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437772555 | Kelly Marie Webb | Counselor | 448 Neal St # A, Cookeville, TN 38501-4781 | 2020-05-22 |
| 1427531706 | Tonya Katherine Stearns | Counselor | 441 E Broad St Ste H, Cookeville, TN 38501-3390 | 2018-09-12 |
| 1710477120 | Christina Deanne Dukes | Counselor | 25 W Broad St Ste 10, Cookeville, TN 38501-2584 | 2018-05-11 |
| 1578066023 | Tena Cope | Counselor | 2370 Quinland Lake Rd Ste 115, Cookeville, TN 38506-7527 | 2018-03-12 |
| 1750427522 | Roy Adam Westmoreland | Counselor | 2370 Quinland Lake Road, Suite 111, Cookeville, TN 38506 | 2007-01-29 |
| 1518014554 | Christina Lasha Mick | Counselor | 2301 Plunk Whitson Rd, Cookeville, TN 38501-6795 | 2007-01-04 |
| 1760549232 | Patricia Lee Smith | Counselor | 118 S. Dixie Ave, Suite 3, Cookeville, TN 38502 | 2007-01-03 |
| 1508832494 | H. David Chaney | Counselor | 906 Allen Ave, Cookeville, TN 38501-2626 | 2006-02-28 |
| 1104441948 | Benjamin Higgins | Counselor | 614 E 4th St, Cookeville, TN 38501-2708 | 2020-06-08 |
| 1124654975 | Susan Marie Gage | Counselor | 606 E Spring St Ste B, Cookeville, TN 38501-5067 | 2020-03-12 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
Please comment or provide details below to improve the information on MR. ROBERT MYRON RIDLEY.
| 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.