Individual provider Active NPI

Kristine Poet Ridyard, APRN

  • Adult Health Nurse Practitioner
  • Storrs Mansfield, CT
National Provider Identifier
1376691550
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
001823 Issued in CT
Practice address
University of CT Student Health Services
234 Glenbrook Drive Unit 2011
Storrs Mansfield, CT 06269-0001
Phone
(860) 487-3427
NPI assigned
Jan 6, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 001823 CT Primary

Addresses

Primary practice location

University of CT Student Health Services
234 Glenbrook Drive Unit 2011
Storrs Mansfield, CT 06269-0001

Mailing address

65 Fieldstone Dr
Storrs Mansfield, CT 06268-2573
Phone (860) 429-5443

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
001823CTMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376691550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 FIELDSTONE DR",
            "city": "STORRS MANSFIELD",
            "state": "CT",
            "postal_code": "062682573",
            "telephone_number": "860-429-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF CT STUDENT HEALTH SERVICES",
            "address_2": "234 GLENBROOK DRIVE UNIT 2011",
            "city": "STORRS MANSFIELD",
            "state": "CT",
            "postal_code": "062690001",
            "telephone_number": "860-487-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDYARD",
        "first_name": "KRISTINE",
        "middle_name": "POET",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "001823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Storrs Mansfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.