Nathan Adam Riddle, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH14136 Issued in FL

Practice address

151 Sawgrass Corners Dr Ste 201
Ponte Vedra Beach, FL 32082-3579

Phone

(904) 395-5598

NPI assigned

Jun 18, 2007

Sex

Male

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)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northeast Florida Wellness PLLC

  • Physical Medicine & Rehabilitation Physician
  • Ponte Vedra Beach, FL
  • NPI 1336900299

  Chiropractor

  NPD Authorized official
• Palm Valley Eye Care and Surgeons, LLC

  • Ophthalmology Physician
  • Ponte Vedra Beach, FL
  • NPI 1184190720
  NPD (past)

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1104021310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SAWGRASS CORNERS DR STE 201",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823579",
            "telephone_number": "904-395-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SAWGRASS CORNERS DR STE 201",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823579",
            "telephone_number": "904-395-5598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "NATHAN",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Recovery Keys, Inc
• Recovery Keys, Inc
• Mary C Rellahan, DPM
• Ronald J Renuart, DO
• Cindy L Richetti, LMHC
• Emily B Riegel, M.ED. , L.M.H.C., PA
• Allie Marie Robertson, M.A., BCBA
• Megan Amelia Rodriguez
• Hannah Tedder Roffino
• Roger L. Wilson, O.D., P.a.

• Chiropractor in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.

Verify at the official NPI Registry.