Active NPI
Melissa Kay Riddle
- General Care Registered Respiratory Therapist
- Lake City, FL
National Provider Identifier
1083484836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Care Registered Respiratory Therapist
- License
- 19520
- Practice address
- 340 NW Commerce Dr
Lake City, FL 32055-4709 - Phone
- (386) 719-9000
- NPI assigned
- Jan 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Care Registered Respiratory Therapist | 2279G1100X | 19520 | FL | Primary |
Addresses
Primary practice location
340 NW Commerce Dr
Lake City, FL 32055-4709
Mailing address
340 NW Commerce Dr
Lake City, FL 32055-4709
Phone (386) 719-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19520 | FL | MD | General Care Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1083484836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 NW COMMERCE DR",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320554709",
"telephone_number": "386-719-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 NW COMMERCE DR",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320554709",
"telephone_number": "386-719-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDDLE",
"first_name": "MELISSA",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-03",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "2279G1100X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, General Care",
"state": "FL",
"license": "19520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.