Organization Active NPI

Pediatric Care Coordination, PLLC

  • Pediatric Nurse Practitioner
  • Owasso, OK
National Provider Identifier
1629997663
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
Legal business name
PEDIATRIC CARE COORDINATION, PLLC
Practice address
6314 E 89TH St N
Owasso, OK 74055-8562
Phone
(918) 257-6629
Fax
(918) 398-9262
NPI assigned
Jul 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Dr. Chelsea Lynn Ridener, DNPNPI 1891645685
Title
Aprn-CNP
Phone
(254) 592-0895

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0200X Primary

Addresses

Primary practice location

6314 E 89TH St N
Owasso, OK 74055-8562

Mailing address

6314 E 89TH St N
Owasso, OK 74055-8562
Phone (918) 257-6629

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1783900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1629997663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6314 E 89TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740558562",
            "telephone_number": "918-257-6629",
            "fax_number": "918-398-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6314 E 89TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740558562",
            "telephone_number": "918-257-6629",
            "fax_number": "918-398-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CARE COORDINATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "RIDENER",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "APRN-CNP",
        "authorized_official_telephone_number": "254-592-0895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.