Individual provider Active NPI

Cynthia K Riddle, STNA

  • Nurse's Aide
  • Pickerington, OH
National Provider Identifier
1083867527
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
400823121008 Issued in OH
Practice address
13515 Limnworthy Dr
Pickerington, OH 43147-8315
Phone
(740) 927-7764
Fax
(740) 927-7764
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 400823121008 OH Primary

Addresses

Primary practice location

13515 Limnworthy Dr
Pickerington, OH 43147-8315

Mailing address

13515 Limnworthy Dr
Pickerington, OH 43147-8315
Phone (740) 927-7764

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

LicenseStateTypeSpecialty
400823121008OHMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1083867527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13515 LIMNWORTHY DR",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431478315",
            "telephone_number": "740-927-7764",
            "fax_number": "740-927-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13515 LIMNWORTHY DR",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431478315",
            "telephone_number": "740-927-7764",
            "fax_number": "740-927-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "CYNTHIA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "STNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "400823121008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.