Active NPI
Alan Shawn Ridenoure, M.ED., ATC/L, CSCS
- Athletic Trainer
- Daphne, AL
National Provider Identifier
1255373544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 165
- Practice address
- 1505 Daphne Ave
Daphne, AL 36526-4298 - Phone
- (251) 625-3176
- Fax
- (251) 625-3198
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 165 | AL | Primary |
Addresses
Primary practice location
1505 Daphne Ave
Daphne, AL 36526-4298
Mailing address
1319 Chamberlain Ave
Mobile, AL 36604-2248
Phone (251) 625-3178
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 165 | AL | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baldwin Bone & Joint P C | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinic/Center
- Daphne, AL
- NPI 1790714459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1255373544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1319 CHAMBERLAIN AVE",
"city": "MOBILE",
"state": "AL",
"postal_code": "366042248",
"telephone_number": "251-625-3178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 DAPHNE AVE",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365264298",
"telephone_number": "251-625-3176",
"fax_number": "251-625-3198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDENOURE",
"first_name": "ALAN",
"middle_name": "SHAWN",
"name_prefix": "Mr.",
"credential": "M.ED., ATC/L, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.