Susan Ridder, RN-CDE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

48755 Issued in NE

Practice address

6901 N 72ND Street
Attn: Diabetic Education
Omaha, NE 68122

Phone

(402) 398-6255

Fax

(402) 829-8513

NPI assigned

May 5, 2014

Last updated

May 5, 2014By 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": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399248000000",
    "number": "1275943862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 642117",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681648117",
            "telephone_number": "402-398-6255",
            "fax_number": "402-829-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 N 72ND STREET",
            "address_2": "ATTN: DIABETIC EDUCATION",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68122",
            "telephone_number": "402-398-6255",
            "fax_number": "402-829-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDER",
        "first_name": "SUSAN",
        "credential": "RN-CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NE",
            "license": "48755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Rico Johnson
• Jennifer Jo Riddell, APRN
• Amanda Marie Ridder, MOT, OTR/L
• Jacob James Ridder, PA-C
• Leah B Ridder, APRN
• Sam Riddle
• Julie Rideout
• Latresha D. Rideout, MA. BS. CHW. DOULA
• Tamika Rideout
• Meagan Elisa Rider, CCC-SLP

• Diabetes Educator Registered Nurse in Omaha, NE
• Providers in Omaha, NE by specialty
• Diabetes Educator Registered Nurse in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.