Julie A Ridgley, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

D-086516 Issued in IA

Practice address

3400 Dexter CT
Suite 101
Davenport, IA 52807-3461

Phone

(563) 344-6600

Fax

(563) 344-6699

NPI assigned

May 1, 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 3

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anesthesia & Pain Consultants, PC

  • Specialist
  • Davenport, IA
  • NPI 1669439402
  Medicare reassignment NPD
• Precision Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Davenport, IA
  • NPI 1053741322

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• TC3 Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Eldridge, IA
  • NPI 1265923387

  Nurse Anesthetist, Certified Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1477511517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DEXTER CT",
            "address_2": "SUITE 101",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073461",
            "telephone_number": "563-344-6600",
            "fax_number": "563-344-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 DEXTER CT",
            "address_2": "SUITE 101",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073461",
            "telephone_number": "563-344-6600",
            "fax_number": "563-344-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDGLEY",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D-086516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "34796",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00105711",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0415471",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary G Ricketts III
• Jayson David Ricks, DDS
• Samantha Ricotta, LISW
• Cassandra A Ridenour, RN IL LCPC IL LMHC I
• Todd Ridenour, MD
• Glenda R Rieck
• Aubrey Riefe, D.O.
• Jenny Riehl-Ditsworth
• Margaret A Rigdon, LMHC
• Kimberly A Riley-Quinn, LISW

• Certified Registered Nurse Anesthetist in Davenport, IA
• Providers in Davenport, IA by specialty
• Certified Registered Nurse Anesthetist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.