Chelsea Monique Ritzendollar, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

91884 Issued in OK

Practice address

3946 U.S. Highway 270
Fort Supply, OK 73841-9718

Phone

(580) 766-2224

Fax

(580) 766-2908

NPI assigned

Aug 9, 2019

Last updated

Aug 9, 2019By the provider in NPPES

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

Other names 1

• Chelsea Monique Hinderman Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1174178784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61",
            "city": "FORT SUPPLY",
            "state": "OK",
            "postal_code": "738410061",
            "telephone_number": "580-766-2224",
            "fax_number": "580-766-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3946 U.S. HIGHWAY 270",
            "city": "FORT SUPPLY",
            "state": "OK",
            "postal_code": "738419718",
            "telephone_number": "580-766-2224",
            "fax_number": "580-766-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITZENDOLLAR",
        "first_name": "CHELSEA",
        "middle_name": "MONIQUE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "91884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MedUnisonEHR",
            "affiliation": "N",
            "endpointDescription": "Electronic Health Records",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3946 U.S. Highway 270",
            "city": "Fort Supply",
            "state": "OK",
            "country_code": "US",
            "postal_code": "738419718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "HINDERMAN",
            "middle_name": "MONIQUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Penny Hills
• Jayme Johnson, LPN
• William A Mitchell, M.D
• Northwest Center for Behavioral Health
• Carrie Randall
• Christen Lynn Schmidt, DPH
• State of Oklahoma (Northwest Center for Behavioral Health)
• Sanzee Suthers

• Adult Health Nurse Practitioner in Fort Supply, OK
• Providers in Fort Supply, OK by specialty
• Adult Health Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.