Marie Sherline Ridore, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN9327097 Issued in FL

Practice address

9400 NW 12TH Ave
Miami, FL 33150-2025

Phone

(786) 321-2399

NPI assigned

Jan 23, 2018

Last updated

Sep 25, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DCFDCD

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664064000000",
    "number": "1477051506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502025",
            "telephone_number": "786-321-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502025",
            "telephone_number": "786-321-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDORE",
        "first_name": "MARIE",
        "middle_name": "SHERLINE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2022-09-25",
        "certification_date": "2022-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9327097",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9327097",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damon Jon Rideaux Jr., MD
• Rides2Health Inc
• Charles Fred Ridley
• Shardrick Terrence Ridley, MSN, APRN, FNP-C
• Tandeka Natasha Ridley
• Gloria Riefkohl, MD
• Gina D Rieger, LCSW
• Michelle Lea Riegler, LMHC
• Riel Allergy Center Inc
• Riel Dist Services Inc

• Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.