Latiana Ridgell, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

TLRN050716 Issued in PA

Practice address

1080 N. Delaware Ave
Suite 300D
Phildelphia, PA 19125

Phone

(215) 287-2114

NPI assigned

Aug 15, 2017

Last updated

Aug 15, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1194241810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 N DELAWARE AVE STE 300D",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191254335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 N. DELAWARE AVE",
            "address_2": "SUITE 300D",
            "city": "PHILDELPHIA",
            "state": "PA",
            "postal_code": "19125",
            "telephone_number": "215-287-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDGELL",
        "first_name": "LATIANA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "TLRN050716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Congdon, M.D.
• Prakash Joel Mathew, MD, MBA
• PHMC Immunization Program
• Mary Joy Daleno Rivero
• Kiara Smith

• Registered Nurse in Phildelphia, PA
• Providers in Phildelphia, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; 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.