Individual provider Active NPI

Christina Elizabeth Riddle

  • Social Worker
  • Indianapolis, IN
National Provider Identifier
1205563673
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
201 N Illinois St Ste 1600
Indianapolis, IN 46204-4218
Phone
(317) 558-9410
NPI assigned
Aug 4, 2022
Last updated
Aug 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X IN Primary

Addresses

Primary practice location

201 N Illinois St Ste 1600
Indianapolis, IN 46204-4218

Mailing address

708 W Grant St
Hartford City, IN 47348-1961
Phone (765) 228-8832

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rina@primemovement.org Holos Integrative Healthcare

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holos Integrative Healthcare Current Accepting new patients

Locations

201 N Illinois St
Ste 1600
Indianapolis, IN 46204
Phone (317) 558-9410

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.

NPI Registry JSON

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1205563673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 W GRANT ST",
            "city": "HARTFORD CITY",
            "state": "IN",
            "postal_code": "473481961",
            "telephone_number": "765-228-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N ILLINOIS ST STE 1600",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462044218",
            "telephone_number": "317-558-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "CHRISTINA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rina@primemovement.org",
            "affiliation": "Y",
            "affiliationName": "Holos Integrative Healthcare",
            "address_1": "201 N Illinois St Ste 1600",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462044218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.