Lauren Riddle

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

3585 Hawver Road
San Andreas, CA 95249

Phone

(209) 754-1249

NPI assigned

Jul 9, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Oakendell Corporation

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • San Andreas, CA
  • NPI 1922772144
  NPD

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1013754076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1144",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "952491144",
            "telephone_number": "209-754-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 HAWVER ROAD",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "95249",
            "telephone_number": "209-754-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Elizabeth Rakestraw, REGISTERED NURSE
• Jesus Arturo Tapia Retamoza
• Julie Anne Reynolds
• Devon Reynoso
• John David Richardson, D.C.
• Patricia Marie Riley, L.C.S.W.
• David Bruce Ritchie, D.D.S.
• Rite of Passage Adolescent Treatment Centers and Schools Inc.
• Rite of Passage Adolescent Treatment Centers and Schools Inc.
• Rite of Passage Adolescent Treatment Centers and Schools, Inc.

• Rehabilitation Practitioner in San Andreas, CA
• Providers in San Andreas, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.