Vida Keller Riston RN CNM PC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

540793 Issued in TX

Legal business name

VIDA KELLER RISTON RN CNM PC

Practice address

2929 Calder St
Beaumont, TX 77702-1845

Phone

(409) 838-4472

Fax

(409) 838-0496

NPI assigned

May 1, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Vida Riston, FNP, CNM

Title

Ceo

Phone

(409) 838-4472

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vida Riston Sprott, APRN, CNM, FNP

  • Nurse Practitioner
  • Beaumont, TX
  • NPI 1023008265
  NPD (past)

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1255776498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12667",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777262667",
            "telephone_number": "409-838-4472",
            "fax_number": "409-838-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 CALDER ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021845",
            "telephone_number": "409-838-4472",
            "fax_number": "409-838-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA KELLER RISTON RN CNM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "RISTON",
        "authorized_official_first_name": "VIDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "409-838-4472",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP, CNM"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "540793",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "540793",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Vickery, NP
• Andrew Victores, M.D.
• Nina Victores, DMD
• Ruben D Victores, MD
• Victory Medical Center Beaumont, L.P.
• Sheila Vidal, RPH
• Vidor Texas Care LLC
• Vijay Kumar MD PA
• Vijayalakshmi M Tammareddi MD PA
• Village Care Providers of Beaumont Inc

• Family Nurse Practitioner in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.