Abigeal Riddle, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5020711 Issued in NC

Practice address

120 W Martin Luther King Jr Dr
Washington, NC 27889-4906

Phone

(252) 940-0602

NPI assigned

Sep 3, 2024

Last updated

Sep 3, 2024By 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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metropolitan Community Health Services IncGroup PAC ID 9931010881, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ariddle735995@direct.ochin.org

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

• Metropolitan Community Health Services, Inc

  dba Agape Community Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Washington, NC
  • NPI 1366488280
  Medicare reassignment Care Compare group NPD
• Metropolitan Community Health Services, Inc.

  dba Roanoke River Orthopedics

  • Orthopaedic Surgery Physician
  • Williamston, NC
  • NPI 1295515260
  NPD
• Metropolitan Community Health Services, Inc.

  dba Agape Health Services - Carolina Avenue

  • Federally Qualified Health Center (FQHC)
  • Washington, NC
  • NPI 1891590444
  NPD

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1487489399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 KENT RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278584949",
            "telephone_number": "720-384-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W MARTIN LUTHER KING JR DR",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894906",
            "telephone_number": "252-940-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "ABIGEAL",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5020711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restorative Community Support Services Co
• Rebecca Branch Revels, PTA
• Hector Kiowa Reynoso, PHARMD, RPH
• Daniel Dale Richardson, M.D.
• Jennifer Marzolf Richardson, F.N.P.
• Ridgewood Healthcare LLC (Ridgewood Living and Rehabilitation Center)
• Ridgewood RLC LLC
• Patrick M Riley, MD
• Jessica Rispoli
• Roberson Foot Care, PA

• Psychiatric/Mental Health Nurse Practitioner in Washington, NC
• Providers in Washington, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.