Active NPI
Pat Ann Riedemann, IADC, LBSW
- Addiction (Substance Use Disorder) Counselor
- South Sioux City, NE
National Provider Identifier
1366749830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 893
- Practice address
- 1000 W 29TH St
Suite 319
South Sioux City, NE 68776-3852 - Phone
- (402) 494-4904
- Fax
- (402) 494-1210
- NPI assigned
- Feb 18, 2011
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 893 | NE | Primary |
Addresses
Primary practice location
1000 W 29TH St
Suite 319
South Sioux City, NE 68776-3852
Mailing address
1000 W 29TH St
Suite 319
South Sioux City, NE 68776-3852
Phone (402) 494-4904
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 |
|---|---|---|---|
| 893 | NE | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297987200000",
"number": "1366749830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 W 29TH ST",
"address_2": "SUITE 319",
"city": "SOUTH SIOUX CITY",
"state": "NE",
"postal_code": "687763852",
"telephone_number": "402-494-4904",
"fax_number": "402-494-1210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W 29TH ST",
"address_2": "SUITE 319",
"city": "SOUTH SIOUX CITY",
"state": "NE",
"postal_code": "687763852",
"telephone_number": "402-494-4904",
"fax_number": "402-494-1210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIEDEMANN",
"first_name": "PAT",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "IADC, LBSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-18",
"last_updated": "2011-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Sioux City, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.