Active NPI
Danyelle Paige Ridley, RN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Raeford, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5017741
- Practice address
- 208 Triple Crown Dr
Raeford, NC 28376-7118 - Phone
- (910) 709-4393
- NPI assigned
- Dec 14, 2022
- Last updated
- May 12, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5017741 | NC | Primary |
Addresses
Primary practice location
208 Triple Crown Dr
Raeford, NC 28376-7118
Mailing address
208 Triple Crown Dr
Raeford, NC 28376-7118
Phone (910) 709-4393
Other names 1
- Danyelle Ridley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2931 Breezewood Ave
Suite 104
Fayetteville, NC 28303-5281
Phone (910) 491-1134
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5017741 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert C. Pennebaker PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Mindful Therapy Group PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Ajels | Psychiatric/Mental Health | Current | Accepting new patients |
| Ajels | Psychiatric/Mental Health | Past | Accepting new patients |
Locations
2931 Breezewood Ave
Ste 104
Fayetteville, NC 28303
Phone (910) 491-1134
5440 SW Westgate Dr
Ste 350
Portland, OR 97221
Phone (503) 292-1100
11740 SW 68th Pkwy
Ste 200
Tigard, OR 97223
Phone (425) 477-4216
6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463
Organizations & group practices 4
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.
-
dba Cumberland Behavioral Care
- Psychiatric/Mental Health Nurse Practitioner
- Fayetteville, NC
- NPI 1144657677
-
- Psychiatric/Mental Health Nurse Practitioner
- Raeford, NC
- NPI 1639978182
-
dba Mindful Therapy Group
- Clinical Social Worker
- Mountlake Terrace, WA
- NPI 1316238678
OR, Psychiatric/Mental Health
-
dba Synapsed Psychiatric Prescribing
- Psychiatric/Mental Health Nurse Practitioner
- Raeford, NC
- NPI 1023817566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1184336893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 TRIPLE CROWN DR",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283767118",
"telephone_number": "910-709-4393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 TRIPLE CROWN DR",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283767118",
"telephone_number": "910-709-4393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDLEY",
"first_name": "DANYELLE",
"middle_name": "PAIGE",
"credential": "RN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-14",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5017741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANYELLE",
"last_name": "RIDLEY",
"credential": "PMHNP-BC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Raeford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.