Individual provider Active NPI

Brooke Hannah Ridings, CCC-SLP

  • Speech-Language Pathologist
  • Lenoir, NC
National Provider Identifier
1376140178
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2103293 Issued in NC
Practice address
2030 Harper Ave NW
Lenoir, NC 28645-4953
Phone
(336) 972-4851
NPI assigned
Oct 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2267 WV
Speech-Language Pathologist 235Z00000X 2103293 NC Primary
Speech-Language Pathologist 235Z00000X 20298 FL
Speech-Language Pathologist 235Z00000X 22020210386 VA

Addresses

Primary practice location

2030 Harper Ave NW
Lenoir, NC 28645-4953

Mailing address

2030 Harper Ave NW
Lenoir, NC 28645-4953

Other practice location 1

4501 Waterman Way
Tavares, FL 32778-5312
Phone (352) 609-4000

Other practice location 2

1755 Chickasha Dr
Pfafftown, NC 27040-8205
Phone (336) 972-4851

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

LicenseStateTypeSpecialty
2267WVMDProfessional Counselor
20298FLMDClinical Social Worker
2103293NCMDSpeech-Language Pathologist
22020210386VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speechcenter LLC, D/B/a Sidekick Therapy Partners Speech-Language Pathologist PastSince Oct 1, 2020 Accepting new patients

Organizations & group practices 1

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": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1376140178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 HARPER AVE NW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286454953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 HARPER AVE NW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286454953",
            "telephone_number": "336-972-4851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4501 Waterman Way",
            "address_purpose": "LOCATION",
            "city": "Tavares",
            "state": "FL",
            "postal_code": "327785312",
            "country_code": "US",
            "telephone_number": "352-609-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1755 Chickasha Dr",
            "address_purpose": "LOCATION",
            "city": "Pfafftown",
            "state": "NC",
            "postal_code": "270408205",
            "country_code": "US",
            "telephone_number": "336-972-4851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDINGS",
        "first_name": "BROOKE",
        "middle_name": "HANNAH",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "2267",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "2103293",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "20298",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "22020210386",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.