Shelia Kay Rideau, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN056620 Issued in LA

Practice address

2425 Belmont Blvd
Bossier City, LA 71111-2428

Phone

(318) 658-9040

Fax

(318) 658-9040

NPI assigned

Dec 7, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1023523446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 BELMONT BLVD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 BELMONT BLVD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112428",
            "telephone_number": "318-658-9040",
            "fax_number": "318-658-9040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2425 Belmont Blvd.",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711117111",
            "country_code": "US",
            "telephone_number": "318-658-9040",
            "fax_number": "318-658-9040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2425 Belmont Blvd",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711112428",
            "country_code": "US",
            "telephone_number": "240-626-3077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2425 Belmont Blvd",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711112428",
            "country_code": "US",
            "telephone_number": "318-658-9040",
            "fax_number": "318-658-9040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDEAU",
        "first_name": "SHELIA",
        "middle_name": "KAY",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN056620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joicelynn Richardson
• Charissa Richmond
• Erika Richter, BCBA
• Denya Patrice Ricks
• Ricky G Davidson MD and Willis Knighton Medical Center
• Kellie Rilling, LPC
• Douglas E Rimmer Jr., M.D.
• Lea J. Rimmer, NP
• River Cities Urgent Care LLC
• River City Physical Therapy, Inc.

• Registered Nurse in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Registered Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.