Serena Rae Ridenhour, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5011571 Issued in NC

Practice address

525 S Tryon St
Charlotte, NC 28202-1839

Phone

(704) 520-0921

Fax

(704) 943-1571

NPI assigned

Mar 15, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: sridenhour2738665@carolinashealthcaresystem.direct-ci.com

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1174082465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 MOUNT PLEASANT RD W",
            "city": "MOUNT PLEASANT",
            "state": "NC",
            "postal_code": "281249566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S TRYON ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282021839",
            "telephone_number": "704-520-0921",
            "fax_number": "704-943-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDENHOUR",
        "first_name": "SERENA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-15",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "serena.ridenhour@premisehealth.com",
            "affiliation": "Y",
            "endpointDescription": "Work email",
            "affiliationName": "Premise Health of North Carolina Medical PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "525 Tyron Street",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Ride Sally Ride
• Miriam E. Ridley, MD
• Sequoia A Ridley, RDN
• Anja C Riedel-Bicknell, OT
• Cynthia Burnette Riedinger, FNP
• Kara Brooke Riedl, LCSWA

• Family Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.