Kirsten Charlotte Ridgely, ANP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN-NP300080 Issued in GA

Practice address

1121 Johnson Ferry Rd Ste 450
Marietta, GA 30068-5433

Phone

(419) 575-7454

NPI assigned

Nov 12, 2025

Last updated

Nov 12, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1215897376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 ROXBORO RD NE APT 5117",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 JOHNSON FERRY RD STE 450",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300685433",
            "telephone_number": "419-575-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDGELY",
        "first_name": "KIRSTEN",
        "middle_name": "CHARLOTTE",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "APRN-NP300080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer D Riddick
• Margaret Riddle, LPC
• Sara P. Riddle, NP-C
• David J Riden, MD
• Ridgeline Counseling LLC
• Shelby Ridgely
• Ridgewood Personal Care Home, Inc (Ridgewood Cla)
• Jennifer Riemersma, MA, LPC
• Asma Rifay
• Laura Beth Rifkin, LCSW,CEAP

• Psychiatric/Mental Health Nurse Practitioner in Marietta, GA
• Providers in Marietta, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.