Sara P. Riddle, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN154853 Issued in GA

Practice address

340 Kennestone Hospital Blvd
Suite 100
Marietta, GA 30060-1152

Phone

(770) 590-8311

Fax

(770) 590-8313

NPI assigned

Nov 22, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309824000000",
    "number": "1457426546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1872 MONTREAL RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845709",
            "telephone_number": "770-495-3396",
            "fax_number": "770-496-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 KENNESTONE HOSPITAL BLVD",
            "address_2": "SUITE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601152",
            "telephone_number": "770-590-8311",
            "fax_number": "770-590-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "SARA",
        "middle_name": "P.",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2011-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN154853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "RN154853",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Katherine Ricks, LCSW
• Barbara Adelfa Rico-Eccles, REGISTERED NURSE
• Tiberiu Riconte, DDS
• Christopher Riddell, MD
• Margaret Riddle, LPC
• David J Riden, MD
• Ridgeline Counseling LLC
• Kirsten Charlotte Ridgely, ANP
• Shelby Ridgely
• Ridgewood Personal Care Home, Inc

• Family Nurse Practitioner in Marietta, GA
• Providers in Marietta, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.