Individual provider Active NPI

Robin Elizabeth Riddle, FNP-C

  • Family Nurse Practitioner
  • Princeton, WV
National Provider Identifier
1619346509
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN49437-NP-C Issued in WV
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1619346509MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151207000798 WV Practitioner - Nurse Practitioner 4486954401 Reassigns benefits to 3 organizations

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, IncGroup PAC ID 7214820547, shared by 6 NPIs, 14 clinicians

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

LicenseStateTypeSpecialty
APRN49437-NP-CWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tug River Health Association, Inc CurrentSince Jan 8, 2022 Accepting new patients
Tug River Health Association, Inc. CurrentSince Nov 15, 2023 Accepting new patients
Tug River Health Association, Inc CurrentSince Nov 15, 2023 Accepting new patients
Brandon M Lingenfelter DO PHD CurrentSince Oct 12, 2025 Accepting new patients
Tug River Health Association, Inc CurrentSince Jan 8, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.