Individual provider Active NPI

Catherine Ridings, MD

  • Sports Medicine (Family Medicine) Physician
  • Quantico, VA
National Provider Identifier
1588825236
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
25331 Issued in NE
Practice address
John H. Bradley Branch Health Clinic
Building 5003, 2189 Elrod Rd.
Quantico, VA 22134
Phone
(703) 432-6260
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 25331 NE Primary

Addresses

Primary practice location

John H. Bradley Branch Health Clinic
Building 5003, 2189 Elrod Rd.
Quantico, VA 22134

Mailing address

John H. Bradley Branch Health Clinic
Building 5003, 2189 Elrod Rd.
Quantico, VA 22134
Phone (703) 432-6260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20191228000086 NE Order and Referring Only - Family PracticePractitioner - Family Practice 2163856154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1588825236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JOHN H. BRADLEY BRANCH HEALTH CLINIC",
            "address_2": "BUILDING 5003, 2189 ELROD RD.",
            "city": "QUANTICO",
            "state": "VA",
            "postal_code": "22134",
            "telephone_number": "703-432-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JOHN H. BRADLEY BRANCH HEALTH CLINIC",
            "address_2": "BUILDING 5003, 2189 ELROD RD.",
            "city": "QUANTICO",
            "state": "VA",
            "postal_code": "22134",
            "telephone_number": "703-432-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDINGS",
        "first_name": "CATHERINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2022-03-10",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NE",
            "license": "25331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quantico, VA

Sources for this page

Verify at the official NPI Registry.