Active NPI
Blythe Riddle, PA-C
- Physician Assistant
- Austin, TX
National Provider Identifier
1194547554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 18440
- Practice address
- 14205 N Mo Pac Expy Ste 570
Austin, TX 78728-6529 - Phone
- (512) 217-3799
- Fax
- (469) 312-2506
- NPI assigned
- Oct 28, 2024
- Last updated
- Jun 30, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 18440 | TX | Primary |
Addresses
Primary practice location
14205 N Mo Pac Expy Ste 570
Austin, TX 78728-6529
Mailing address
14205 N Mo Pac Expy Ste 570
Austin, TX 78728-6529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
14205 N Mo Pac Expy
570 PMB 411939
Austin, TX 78728-6529
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18440 | TX | MD | Professional Counselor |
Organizations & group practices 1
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.
-
- Wound Care Registered Nurse
- Austin, TX
- NPI 1255020061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1194547554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14205 N MO PAC EXPY STE 570",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787286529",
"fax_number": "469-312-2506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14205 N MO PAC EXPY STE 570",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787286529",
"telephone_number": "512-217-3799",
"fax_number": "469-312-2506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDDLE",
"first_name": "BLYTHE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-28",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "18440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.