Individual provider Active NPI

Lindsay Nicole Riddick, FNP-C

  • Family Medicine Physician
  • Texas City, TX
National Provider Identifier
1003548231
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AP145258 Issued in TX
Practice address
6400 Memorial Dr
Texas City, TX 77591-4018
Phone
(409) 209-0070
NPI assigned
Jun 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP145258 TX
Family Medicine Physician 207Q00000X AP145258 TX Primary

Addresses

Primary practice location

6400 Memorial Dr
Texas City, TX 77591-4018

Mailing address

11511 Shadow Creek Pkwy
Pearland, TX 77584-7298
Phone (713) 442-0000

Other practice location 1

400 W Fairmont Pkwy
LA Porte, TX 77571-6308
Phone (346) 222-7370

Other practice location 2

4002 Burke Rd Unit 100
Pasadena, TX 77504-3451
Phone (281) 741-2982

Other practice location 3

3625 E League City Pkwy
League City, TX 77573-4509
Phone (713) 442-2826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230930000217 TX Practitioner - Nurse Practitioner 5092169664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical Branch at Galveston, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kelsey-Seybold Medical Group, PLLCGroup PAC ID 9739093527, 941 clinicians

Practice addresses (Care Compare)

3625 E League City Pkwy
League City, TX 77573-4509
Phone (713) 442-2826

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP145258TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kelsey-Seybold Medical Group, PLLC Family Medicine CurrentSince Oct 16, 2023 Accepting new patients

Locations

2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412

201 Enterprise Ave
Ste 900
League City, TX 77573
Phone (713) 442-2826

3625 E League City Pkwy
League City, TX 77573
Phone (713) 442-2826

11511 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 442-4997

Interoperability endpoints

  • Direct secure messaging: lriddick67982@direct.kelsey-seybold.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1003548231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 SHADOW CREEK PKWY",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847298",
            "telephone_number": "713-442-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 MEMORIAL DR",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775914018",
            "telephone_number": "409-209-0070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 W Fairmont Pkwy",
            "address_purpose": "LOCATION",
            "city": "LA Porte",
            "state": "TX",
            "postal_code": "775716308",
            "country_code": "US",
            "telephone_number": "346-222-7370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4002 Burke Rd Unit 100",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775043451",
            "country_code": "US",
            "telephone_number": "281-741-2982",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3625 E League City Pkwy",
            "address_purpose": "LOCATION",
            "city": "League City",
            "state": "TX",
            "postal_code": "775734509",
            "country_code": "US",
            "telephone_number": "713-442-2826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDDICK",
        "first_name": "LINDSAY",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145258",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP145258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas City, TX

Sources for this page

Verify at the official NPI Registry.