Individual provider Active NPI

Rita Denise Riddick-Seels

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1336556414
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RIDD-HMVE1U Issued in NC
Practice address
9841 Northlake Centra Parkway
Charlotte, NC 28216
Phone
(704) 526-3648
NPI assigned
Jul 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RIDD-HMVE1U NC Primary

Addresses

Primary practice location

9841 Northlake Centra Parkway
Charlotte, NC 28216

Mailing address

3208 Grandeur Rd
Charlotte, NC 28269-3217
Phone (704) 766-1237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201015002953 NC Practitioner - Nurse Practitioner 9830319730 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RIDD-HMVE1UNCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Home Care Services CurrentSince May 1, 2021 Accepting new patients
Cityblock Medical Practice, P.a. PastSince Jul 1, 2021 Accepting new patients

Locations

7945 N Tryon St
Ste 112
Charlotte, NC 28262
Phone (704) 394-8968

3552 Beatties Ford Rd
Charlotte, NC 28216
Phone (704) 352-8937

Interoperability endpoints

  • Direct secure messaging: rita.riddick-seels.1@27775.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1336556414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 GRANDEUR RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693217",
            "telephone_number": "704-766-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9841 NORTHLAKE CENTRA PARKWAY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28216",
            "telephone_number": "704-526-3648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDICK-SEELS",
        "first_name": "RITA",
        "middle_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "RIDD-HMVE1U",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.