Emma Marie Ridenhour

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

BLDG 11371B 22ND St
Fort Lewis, WA 98433

Phone

(208) 761-5503

NPI assigned

Jun 6, 2016

Last updated

Sep 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1447609912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 146TH ST NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983329086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 11371B 22ND ST",
            "city": "FORT LEWIS",
            "state": "WA",
            "postal_code": "98433",
            "telephone_number": "208-761-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDENHOUR",
        "first_name": "EMMA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joel T. Postma, OD
• Greg Michael Reger, PHD
• Marianita Sanchez
• Dana Barr Schaffer, PA-C
• Leesa M Smith, IDMT
• Christina S Taylor, LCSW
• Rachel Claire Thomas, ATC

• Athletic Trainer in Fort Lewis, WA
• Providers in Fort Lewis, WA by specialty
• Athletic Trainer in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.