Gwendolyn R Riddell, CNM, APN

Primary specialty

MidwifeTaxonomy code 176B00000X

License

NMW1802 Issued in CA

Practice address

1140 Sonoma Ave Ste 3
Santa Rosa, CA 95405-4817

Phone

(707) 766-4276

NPI assigned

Apr 8, 2008

Last updated

May 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Gwen Riddell Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Interoperability endpoints

• Direct secure messaging: griddell312551@direct.ochin.org
• Direct secure messaging: gwendolynrae.riddellcnw.p1@direct.ppnorcal.nextgenshare.com

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1033382213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206A BOYCE ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954015426",
            "telephone_number": "707-545-4675",
            "fax_number": "707-547-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 SONOMA AVE STE 3",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054817",
            "telephone_number": "707-766-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDELL",
        "first_name": "GWENDOLYN",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "CNM, APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-08",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "NMW1802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GWEN",
            "last_name": "RIDDELL",
            "credential": "CNM, APN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marianne Lee Rickards, LCSW
• Kimberly Rickman
• Jordan Rico
• Maria Refugio Rico, CADTP REGISTERED
• Christy Julie Riddell
• Ridgway Chiropractic Inc
• Caleb Daniel Ridgway, D.C.
• Matthew Samarcq Ridgway
• Amy Ridling, CADTP
• Carlene Rieber, PT, DPT

• Midwife in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Midwife in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.