Renee Anne Rider, LGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

8057722-3602 Issued in UT

Practice address

Dept of Veteran Affairs Genomic Medicine
500 Foothill Drive (151Z)
Salt Lake City, UT 84148-0001

Phone

(801) 582-1565

NPI assigned

Aug 1, 2011

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1518245158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT OF VETERAN AFFAIRS GENOMIC MEDICINE",
            "address_2": "500 FOOTHILL DRIVE (151Z)",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841480001",
            "telephone_number": "801-582-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPT OF VETERAN AFFAIRS GENOMIC MEDICINE",
            "address_2": "500 FOOTHILL DRIVE (151Z)",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841480001",
            "telephone_number": "801-582-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDER",
        "first_name": "RENEE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "UT",
            "license": "8057722-3602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hollie Riddle
• Katelyn Riddle
• Matthew Riddle
• Suzanne L K Riddle, RN
• Marian E. Riddoch, MD
• Brook Ridge, LPC
• Ridgedale Counseling Inc.
• Riding Anesthesia LLC
• Carla Magpantay Riding
• Cassandra Riding, CMHC

• Genetic Counselor (M.S.) in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Genetic Counselor (M.S.) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.