Jamesia Riddle

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

6363 W Camp Wisdom Rd Apt 1625
Dallas, TX 75236-2550

Phone

(913) 605-6376

NPI assigned

Jan 14, 2021

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

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1083203996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6363 W CAMP WISDOM RD APT 1625",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752362550",
            "telephone_number": "913-605-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 W CAMP WISDOM RD APT 1625",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752362550",
            "telephone_number": "913-605-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "JAMESIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Gay Ricks, M.A, LPC-A, NCC
• Gabrielle Ricky, RDN, LD
• Gregory Andrew Rico, LPC
• Kassidy Nicole Rico, PA-C
• Christy Cathleen Riddle, M.D.
• Jessica Riddle, PNP-AC
• Joan Mildred Riddle, P.T.
• Taylor Riddle, DC
• Latoya Yulisa Rideau-Horn
• Jessica Ridens

• Contractor in Dallas, TX
• Providers in Dallas, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.