Ardyce Jane Ridolfo, MSN,D.PHIL, GNP, FNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

6124 Issued in TN

Practice address

1508 Tombras Avenue
East Ridge, TN 37412-2720

Phone

(423) 867-4969

Fax

(423) 867-4971

NPI assigned

Jun 16, 2006

Last updated

Sep 12, 2014By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Practice Alliance

  • Family Medicine Physician
  • East Ridge, TN
  • NPI 1336950807
  NPD (past)
• Chattanooga Cares, Inc.

  dba Cempa Community Care

  • Federally Qualified Health Center (FQHC)
  • Chattanooga, TN
  • NPI 1457368524
  NPD (past)
• Trilogy Integrated Health Care, Inc. of Georgia

  dba Dayton Family Health and Urgent Care Clinic

  • Rural Health Clinic/Center
  • Dayton, TN
  • NPI 1053362921
  NPD (past)
• Trilogy Integrated Health Care, Inc. of Georgia

  dba Jasper Family Health and Urgent Care Clinic

  • Rural Health Clinic/Center
  • Jasper, GA
  • NPI 1235181322
  NPD (past)
• Trilogy Integrated Health Care, Inc. of Georgia

  dba Flintstone Family Health and Urgent Care Clinic

  • Rural Health Clinic/Center
  • Flintstone, GA
  • NPI 1598717878
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410480000000",
    "number": "1174567416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 TOMBRAS AVENUE",
            "city": "EAST RIDGE",
            "state": "TN",
            "postal_code": "374122720",
            "telephone_number": "423-867-4969",
            "fax_number": "423-867-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 TOMBRAS AVENUE",
            "city": "EAST RIDGE",
            "state": "TN",
            "postal_code": "374122720",
            "telephone_number": "423-867-4969",
            "fax_number": "423-867-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDOLFO",
        "first_name": "ARDYCE",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "MSN,D.PHIL, GNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2014-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "6124",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "6124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - TENNESSEE",
            "identifier": "4193059",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3900528",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Raycraft
• Katelyn Joan Renard, PT, DPT
• Rhonda Lynn Renfro, FNP
• Byron L Reynolds, P.T.
• Richelle Marie Richey, PHARMD
• Lindsay Robinson, DPT
• Jonathan Marius Rodriguez, D.D.S
• Gordon Davis Rudell, PT
• Brittany Lee Ryder, FNP-BC
• Scenic City Healthcare of Tennessee, LLC (Southern Heritage Assisted Living)

• Gerontology Nurse Practitioner in East Ridge, TN
• Providers in East Ridge, TN by specialty
• Gerontology Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; 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.