Michael Vincent Riddle, RN

Primary specialty

Rehabilitation Registered NurseTaxonomy code 163WR0400X

License

885506 Issued in TX

Practice address

13031 Wortham Center Dr
Houston, TX 77065-5662

Phone

(832) 280-2500

Fax

(832) 280-2785

NPI assigned

Jun 13, 2023

Sex

Male

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1598449258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13031 WORTHAM CENTER DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770655662",
            "telephone_number": "832-280-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13031 WORTHAM CENTER DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770655662",
            "telephone_number": "832-280-2500",
            "fax_number": "832-280-2785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13031 Wortham Center Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770655662",
            "country_code": "US",
            "telephone_number": "832-280-2500",
            "fax_number": "832-280-2785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "MICHAEL",
        "middle_name": "VINCENT",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "TX",
            "license": "885506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Ridder, M.S. L.M.F.T.-A.
• Amanda Riddle
• Barrett Charles Riddle, MD
• Jefferson Eugene Riddle
• Lindsey Riddle
• Ride2Life Transit LLC
• Dionne Wynisha Rideau, APRN FNP-C
• Natalia Yevonne Rideaux, APRN, FNP-C
• Sherell S Rideaux, RD
• Kylar Rider, BCBA

• Rehabilitation Registered Nurse in Houston, TX
• Providers in Houston, TX by specialty
• Rehabilitation Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.