Active NPI
Robin Elizabeth Riddle, FNP-C
- Family Nurse Practitioner
- Princeton, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN49437-NP-C
- Practice address
- 200 12TH Street Ext
Princeton, WV 24740-2329 - Phone
- (304) 431-1400
- Fax
- (044) 254-3933
- NPI assigned
- Sep 21, 2015
- Last updated
- Apr 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024172683 | VA | |
| Family Nurse Practitioner | 363LF0000X | APRN49437-NP-C | WV | Primary |
Addresses
Primary practice location
200 12TH Street Ext
Princeton, WV 24740-2329
Mailing address
200 12TH Street Ext
Princeton, WV 24740-2329
Phone (304) 431-1400
Other practice location 1
5600 Burkes Garden Rd
Tazewell, VA 24651-8490
Phone (276) 979-0030
Other practice location 2
US rt 52 North Main Street
Northfork, WV 24868
Phone (304) 862-2588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619346509 | Medicaid | WV |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.athenahealth.com/patient-login | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tug River Health Association, Inc
Practice addresses (Care Compare)
200 12TH St Ext
Princeton, WV 24740-2329
Phone (304) 431-1400
512 Mountaineer Hwy
RM 1344
Bradshaw, WV 24817
Phone (304) 967-7682
PO Box
Suite 507
Gary, WV 24836
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN49437-NP-C | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tug River Health Association, Inc | Current | Accepting new patients | |
| Tug River Health Association, Inc. | Current | Accepting new patients | |
| Tug River Health Association, Inc | Current | Accepting new patients | |
| Brandon M Lingenfelter DO PHD | Current | Accepting new patients | |
| Tug River Health Association, Inc | Current | Accepting new patients | |
| Tug River Health Association, Inc | Past | Accepting new patients | |
| Tug River Health Association, Inc | Past | Accepting new patients |
Locations
200 12th Street Ext
Princeton, WV 24740
Phone (304) 425-9541
411 12th Street Ext
Princeton, WV 24740
Phone (681) 282-5591
1880 Mount View Rd
Ste 500
Welch, WV 24801
Phone (304) 436-4798
Interoperability endpoints
- robin.riddle.1@18068.direct.athenahealth.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Gary, WV
- NPI 1174501068
-
dba Tug River Health Association
- Federally Qualified Health Center (FQHC)
- Princeton, WV
- NPI 1639842818
-
- Federally Qualified Health Center (FQHC)
- Bradshaw, WV
- NPI 1295033009
-
- Rural Health Clinic/Center
- Princeton, WV
- NPI 1619842465
-
dba Pineville Children's Clinic
- Federally Qualified Health Center (FQHC)
- Gary, WV
- NPI 1407922891
-
- Federally Qualified Health Center (FQHC)
- Northfork, WV
- NPI 1831273945
-
- Clinical Medical Laboratory
- Gary, WV
- NPI 1831275171
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CenterWell Home Health
- Home Health Agency
- Beckley, WV
- NPI 1265461545
-
- General Acute Care Hospital
- Princeton, WV
- NPI 1558313213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649376000000",
"number": "1619346509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 12TH STREET EXT",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247402329",
"telephone_number": "304-431-1400",
"fax_number": "304-425-4393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 12TH STREET EXT",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247402329",
"telephone_number": "304-431-1400",
"fax_number": "044-254-3933"
}
],
"practiceLocations": [
{
"address_1": "5600 Burkes Garden Rd",
"address_purpose": "LOCATION",
"city": "Tazewell",
"state": "VA",
"postal_code": "246518490",
"country_code": "US",
"telephone_number": "276-979-0030",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "US rt 52 North Main Street",
"address_purpose": "LOCATION",
"city": "Northfork",
"state": "WV",
"postal_code": "24868",
"country_code": "US",
"telephone_number": "304-862-2588",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIDDLE",
"first_name": "ROBIN",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-21",
"last_updated": "2022-04-08",
"certification_date": "2022-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024172683",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "APRN49437-NP-C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1619346509",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.athenahealth.com/patient-login",
"affiliation": "N",
"endpointDescription": "Patient portal",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"useOtherDescription": "Patient Direct Access to their record",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EHR portal",
"address_1": "200 12th Street Ext",
"city": "Princeton",
"state": "WV",
"country_code": "US",
"postal_code": "247402329",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Princeton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.