Kim Ridenhour, RN, MSN, MBA

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN3206512 Issued in FL

Practice address

829 13TH CT SW
Largo, FL 33770-4472

Phone

(727) 398-6661

NPI assigned

Aug 21, 2007

Last updated

Aug 21, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1386837631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 000 BAY PINES BLVD.",
            "city": "BAY PINES",
            "state": "FL",
            "postal_code": "33744",
            "telephone_number": "727-398-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 13TH CT SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337704472",
            "telephone_number": "727-398-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDENHOUR",
        "first_name": "KIM",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN3206512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard D Morris, LLC (Family & Adolescent Counseling Services)
• Ritchmy Richard, HIS
• Marguarite Lizabeth Richardson, ARNP BC DNP
• Marc Alen Richman, D.O.
• Lydia Riddle
• Shay David Ridge, D.C.
• Aaron Rigali, PHARMD
• Sarah Orcutt Riggsbee, MS CCC-SLP
• Katina Ereni Rikas, LMHC
• Michael David Riley, D.O.

• Registered Nurse in Largo, FL
• Providers in Largo, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.