Active NPI
Anne Sydney Riddick, MS,CCC-SLP
- Speech-Language Pathologist
- Rocky Mount, NC
National Provider Identifier
1124652003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 13545
- Practice address
- 2024 Joelene Dr
Rocky Mount, NC 27803-1533 - Phone
- (252) 883-7968
- Fax
- (888) 393-2093
- NPI assigned
- Feb 28, 2020
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 13545 | NC | Primary |
Addresses
Primary practice location
2024 Joelene Dr
Rocky Mount, NC 27803-1533
Mailing address
2024 Joelene Dr
Rocky Mount, NC 27803-1533
Phone (252) 883-7968
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13545 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582848000000",
"number": "1124652003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2024 JOELENE DR",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278031533",
"telephone_number": "252-883-7968",
"fax_number": "888-393-2093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2024 JOELENE DR",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278031533",
"telephone_number": "252-883-7968",
"fax_number": "888-393-2093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDDICK",
"first_name": "ANNE",
"middle_name": "SYDNEY",
"credential": "MS,CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-28",
"last_updated": "2020-02-28",
"certification_date": "2020-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "13545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.