Jan Ridder, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3006321 Issued in KY

Practice address

2135 Woodbourne Ave
Louisville, KY 40205-1911

Phone

(502) 459-4328

NPI assigned

Jan 7, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1376873646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 WOODBOURNE AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 WOODBOURNE AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051911",
            "telephone_number": "502-459-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDER",
        "first_name": "JAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-07",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "6321P",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vernon C Rickert Jr., LCSW LMFT
• Todd A Rickett, M.D./PH.D.
• Ashley Ann Ricketts, DNP PMHNP-BC
• Melissa Ricketts, PHARMD
• Lyndsey Alyse Riddell, PHARMD, RPH
• Brittany Riddle, LMFT
• Chad Riddle, CRNA
• Elizabeth Marie Riddle, RD, LD
• Jeni Lynn Riddle, M.S., CCC-SLP
• Tyce McKeyan Riddle

• Family Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.

Verify at the official NPI Registry.