David H. Ridley, MFTI

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

611 Hoopes Ave
Idaho Falls, ID 83401-6106

Phone

(208) 557-9724

Fax

(208) 524-1701

NPI assigned

Jun 25, 2007

Sex

Male

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1396941571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 HOOPES AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834016106",
            "telephone_number": "208-557-9724",
            "fax_number": "208-524-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 HOOPES AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834016106",
            "telephone_number": "208-557-9724",
            "fax_number": "208-524-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDLEY",
        "first_name": "DAVID",
        "middle_name": "H.",
        "name_prefix": "Mr.",
        "credential": "MFTI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deron J Ricks, PA
• Jessica Lynn Ricks, LSW
• Tina Maria Ricks, LMSW
• Ridgeline Medical LLC
• Bethany Richardson Riding, B.S.
• Tasha Riedelbach
• Christopher A Rigby, DPT
• Riley J. Hicks D.D.S., P.a.
• Riley Murdock Inc
• Rindfleisch Family Practice PLLC

• Marriage & Family Therapist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Marriage & Family Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.