Connie I Ritze

Primary specialty

Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X

License

34050 Issued in OK

Practice address

3100 S Elm PL Ste C
Broken Arrow, OK 74012-7950

Phone

(918) 520-5197

NPI assigned

Jul 26, 2019

Sex

Female

Sole proprietor

Yes

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": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1609420736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 S ELM PL STE C",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127950",
            "telephone_number": "918-520-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 S ELM PL STE C",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127950",
            "telephone_number": "918-520-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITZE",
        "first_name": "CONNIE",
        "middle_name": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "OK",
            "license": "34050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie Lorinda Ridley, LPC
• Jason Lee Riffe, D.O.
• Brooke Danielle Riggs, PHARMD
• Rise Wellnes & Resource Center, LLC
• Zachary Tyler Rittgers
• James Michael Ritze, D.O.
• Sarah Elizabeth Rivas, D.C.
• RMC Therapy PLLC
• Griffith Mark Roach
• Shanita Shahreen Rob, MA, RD, LD

• Gerontology Clinical Nurse Specialist in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Gerontology Clinical Nurse Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.