Michele A Ridder, ARNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

44523 Issued in KS

Practice address

1306 State St
Augusta, KS 67010-1126

Phone

(316) 775-9191

Fax

(316) 775-0348

NPI assigned

Aug 20, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1619082716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 STATE ST",
            "city": "AUGUSTA",
            "state": "KS",
            "postal_code": "670101126",
            "telephone_number": "316-775-9191",
            "fax_number": "316-775-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 STATE ST",
            "city": "AUGUSTA",
            "state": "KS",
            "postal_code": "670101126",
            "telephone_number": "316-775-9191",
            "fax_number": "316-775-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDER",
        "first_name": "MICHELE",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "44523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100422080C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristine Marie Price
• PT Plus, Inc.
• Michael A Rausch, M.D.
• Cynthia Sue Reynolds
• Cindy Richardson
• Caleb Kenneth Roberts
• Molly K Roepke, DPT
• Karly Klarisse Ross
• Mandi J. Seachris, M.S., LCPC
• Maria Lyn Shields, PT

• Family Medicine Physician in Augusta, KS
• Providers in Augusta, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.