Active NPI
Kacee Rider
- Registered Nurse
- Poplar Bluff, MO
National Provider Identifier
1285282145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2006023219
- Practice address
- 350 Sunny Valley LN
Poplar Bluff, MO 63901-6739 - Phone
- (573) 712-7808
- NPI assigned
- Sep 3, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2006023219 | MO | Primary |
Addresses
Primary practice location
350 Sunny Valley LN
Poplar Bluff, MO 63901-6739
Mailing address
350 Sunny Valley LN
Poplar Bluff, MO 63901-6739
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006023219 | MO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1285282145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 SUNNY VALLEY LN",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639016739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 SUNNY VALLEY LN",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639016739",
"telephone_number": "573-712-7808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDER",
"first_name": "KACEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-03",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2006023219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.