Rider Mobility Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

RIDER MOBILITY INC.

Practice address

3985 W Cheyenne Ave Ste 306
North Las Vegas, NV 89032-8907

Phone

(702) 272-0230

Fax

(866) 836-8782

NPI assigned

Dec 17, 2018

Last updated

Feb 23, 2022By 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

Kirsten Allison Wender, ATP

Title

President

Phone

(702) 445-2675

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Rider Mobility Inc.

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
  • NPI 1104690791

  9931433240

  Same PAC ID
• Rider Mobility Inc.

  • Durable Medical Equipment & Medical Supplies
  • Peoria, AZ
  • NPI 1336764844

  9931433240

  Same PAC ID
• Rider Mobility Inc.

  • Durable Medical Equipment & Medical Supplies
  • Denver, CO
  • NPI 1467210161

  9931433240

  Same PAC ID
• Rider Mobility Inc.

  • Durable Medical Equipment & Medical Supplies
  • San Diego, CA
  • NPI 1578165734

  9931433240

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Rider Mobility Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Rider Mobility Inc.

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
  • NPI 1104690791
  NPD tax ID
• Rider Mobility Inc.

  • Durable Medical Equipment & Medical Supplies
  • Peoria, AZ
  • NPI 1336764844
  NPD tax ID
• Rider Mobility Inc.

  • Durable Medical Equipment & Medical Supplies
  • Denver, CO
  • NPI 1467210161
  NPD tax ID
• Rider Mobility Inc.

  • Durable Medical Equipment & Medical Supplies
  • San Diego, CA
  • NPI 1578165734
  NPD tax ID

Locations

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1174094163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3985 W CHEYENNE AVE STE 306",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890328907",
            "telephone_number": "702-272-0230",
            "fax_number": "866-836-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3985 W CHEYENNE AVE STE 306",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890328907",
            "telephone_number": "702-272-0230",
            "fax_number": "866-836-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDER MOBILITY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "WENDER",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_middle_name": "ALLISON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-445-2675",
        "authorized_official_credential": "ATP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Marcial Rici Veliz
• Kristina Ricker, LCSW
• Sergio Rico
• Lexie Lynn Ridenour
• Patrice Rideout
• Summer D Ridge
• Adaline Isagra Ridon
• Jose Manuel Riera
• Joshua Ray Riley
• Kaylone M Riley

• Durable Medical Equipment & Medical Supplies in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Durable Medical Equipment & Medical Supplies in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.