Tanya Nicole Riddle, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

DR.0059031 Issued in CO

Practice address

3701 S Clarkson St Ste 400
Englewood, CO 80113-3960

Phone

(303) 761-7797

Fax

(303) 789-2995

NPI assigned

Jul 9, 2012

Last updated

May 20, 2019By 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

Other names 1

• Tanya Nicole Trynosky Former name

Medicare fee-for-service enrollment

Enrolled in MT, WY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Dermatology

Education

University of Texas Medical School at Houston, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Billings Dermatology PCGroup PAC ID 1951718170, shared by 2 NPIs, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Intermountain Health St Vincent Regional Hospital Hospital, Billings, MT, CCN 270049

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Billings Dermatology PC

  • Dermatology Physician
  • Billings, MT
  • NPI 1881298560
  Medicare reassignment NPD
• Billings Dermatology PC

  • Dermatology Physician
  • Worland, WY
  • NPI 1902400690
  Medicare reassignment NPD
• Asarch Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Englewood, CO
  • NPI 1417001454
  NPD (past)
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• SCL Health Montana

  dba Intermountain Health St Vincent Regional Hospital

  • General Acute Care Hospital
  • Billings, MT
  • NPI 1083655997
  Care Compare affiliation
• St. Vincent Healthcare

  • General Acute Care Hospital
  • Billings, MT
  • NPI 1396916276
  Care Compare affiliation

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1497010250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 S CLARKSON ST STE 400",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133960",
            "telephone_number": "303-761-7797",
            "fax_number": "303-789-2995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2356 Meadows Blvd Ste 340",
            "address_purpose": "LOCATION",
            "city": "Castle Rock",
            "state": "CO",
            "postal_code": "801098410",
            "country_code": "US",
            "telephone_number": "303-761-7797",
            "fax_number": "303-789-2995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 E Johnson St",
            "address_purpose": "LOCATION",
            "city": "Holyoke",
            "state": "CO",
            "postal_code": "807341854",
            "country_code": "US",
            "telephone_number": "303-761-7797",
            "fax_number": "303-789-2995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 S Routt St Ste 350",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802282271",
            "country_code": "US",
            "telephone_number": "303-761-7797",
            "fax_number": "303-789-2995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1017 W 7th St",
            "address_purpose": "LOCATION",
            "city": "Wray",
            "state": "CO",
            "postal_code": "807581420",
            "country_code": "US",
            "telephone_number": "303-761-7797",
            "fax_number": "303-789-2995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "TANYA",
        "middle_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "DR.0059031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "TRYNOSKY",
            "middle_name": "NICOLE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richard W. Rewey, MD, PC
• John Caleb Richards, M.D.
• Karilyn Vaughan Richards, PSYD, LMFT
• Megan Richmond
• Rick S Schwettmann MD PC
• Jeremy A. Rieks, PA-C
• Dennis Ries, AUD
• Mark W Riggs, D.C., D.A.B.C.I
• Mitchel D Ring, PSYD
• Nolan Ripple, DPT

• Dermatology Physician in Englewood, CO
• Providers in Englewood, CO by specialty
• Dermatology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.