Yvonne Riddle, APRN, NNP

Primary specialty

Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X

License

AP107731 Issued in TX

Practice address

1301 Pennsylvania Ave
Neonatology Office
Fort Worth, TX 76104-2122

Phone

(817) 250-2892

Fax

(817) 250-5335

NPI assigned

May 10, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1235189598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 RODDY DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761232066",
            "telephone_number": "817-905-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PENNSYLVANIA AVE",
            "address_2": "NEONATOLOGY OFFICE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042122",
            "telephone_number": "817-250-2892",
            "fax_number": "817-250-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "YVONNE",
        "name_prefix": "Ms.",
        "credential": "APRN, NNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "TX",
            "license": "520285",
            "primary": false
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "TX",
            "license": "AP107731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zhanna Riddell, MD
• Nicholas R Ridder, DDS, MS
• Amanda Riddle
• Amie Wolverton Riddle, PMHNP-BC
• Jonathan Dru Riddle, CRNA
• Ride N' Safe, LLC
• Ride4Health DFW
• Ridglea Senior Living 2015, LLC
• Danielle Ridley
• Joshua Nelton Riechers, MD

• Critical Care Neonatal Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Critical Care Neonatal Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.