Yuliya Riddle

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

214770 Issued in AR

Practice address

2914 Cypress Rd
Arkadelphia, AR 71923-4227

Phone

(870) 246-7000

NPI assigned

Feb 22, 2021

Sex

Female

Sole proprietor

No

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

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Frank S Teed MD PA

  • Ophthalmology Physician
  • Arkadelphia, AR
  • NPI 1831139781
  Medicare reassignment NPD

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1154915007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 CYPRESS RD",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719234227",
            "telephone_number": "870-246-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 CYPRESS RD",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719234227",
            "telephone_number": "870-246-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "YULIYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "214770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Reynolds
• Caliegh Jade Rhodes
• Chasity Rhodes
• Jaclyn Richardson
• Angela Richerson, M.S., L.A.C.
• Carri Lynn Riley
• Rivendell - Outreach Arkadelphia
• Johnathan Shane Roach
• Robert Anthony Dorman MD PA
• Jackie D Rollins, LMSW

• Family Nurse Practitioner in Arkadelphia, AR
• Providers in Arkadelphia, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.