Patrice Rideout

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

2420 Rainy Meadows Ave
North Las Vegas, NV 89031-4419

Phone

(702) 301-3377

NPI assigned

May 3, 2017

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 1

Other names 1

• Patrice Cobb Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Abundant Life Home Care

  • In Home Supportive Care Agency
  • Las Vegas, NV
  • NPI 1003662628
  NPD Authorized official
• Beautiful Affectation

  • Voluntary or Charitable Agency
  • Las Vegas, NV
  • NPI 1750886289

  Rehabilitation Practitioner

  NPD (past)

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1184150658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 RAINY MEADOWS AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890314419",
            "telephone_number": "702-301-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 RAINY MEADOWS AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890314419",
            "telephone_number": "702-301-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDEOUT",
        "first_name": "PATRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-03",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184150658",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICE",
            "last_name": "COBB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zolita Richardson
• Carlos Marcial Rici Veliz
• Kristina Ricker, LCSW
• Sergio Rico
• Lexie Lynn Ridenour
• Rider Mobility Inc.
• Summer D Ridge
• Adaline Isagra Ridon
• Joshua Ray Riley
• Kaylone M Riley

• Social Worker in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.