Riverside Health Center, LLC

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

Legal business name

RIVERSIDE HEALTH CENTER, LLC

Practice address

819 N Miller St
Suite 1B
Wenatchee, WA 98801-6604

Phone

(509) 888-1924

Fax

(509) 888-2238

NPI assigned

Apr 23, 2008

Last updated

Aug 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacy R Stubblefield, CNM/ARNPNPI 1902996408

Title

Owner

Phone

(509) 421-5077

Specialties & licenses 3

Addresses

Other identifiers 5

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stacy R Stubblefield, CNM/ARNP

  • Advanced Practice Midwife
  • Wenatchee, WA
  • NPI 1902996408
  NPD (past) Authorized official

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1083889893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 N MILLER ST",
            "address_2": "SUITE 1B",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988016604",
            "telephone_number": "509-888-1924",
            "fax_number": "509-888-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 N MILLER ST",
            "address_2": "SUITE 1B",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988016604",
            "telephone_number": "509-888-1924",
            "fax_number": "509-888-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "STUBBLEFIELD",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-421-5077",
        "authorized_official_credential": "CNM/ARNP"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9656919",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7532701",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "4322ST",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASURIS NW HEALTH",
            "identifier": "4322ST",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4444890",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie M Ritter, CNP
• Maechell Ritter
• Daniel L. Ritzke, PA-C
• Julisa G Rivera Ramirez I, NAC
• Rosalinda Rivera
• Riverwalk Family Chiropractic, PLLC
• Riverwest Manor, LLC (Riverwest)
• Erin Adele Robards, RN
• Janet L Roberson, LMHC
• Brian Andrew Robertson, MD

• Advanced Practice Midwife in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Advanced Practice Midwife in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.