Amber Lynn Ridgeway

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1016 N Range Rd
Stillwater, OK 74075-1985

Phone

(405) 762-1927

NPI assigned

Oct 4, 2017

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

Other names 1

• Amber Lynn Moore Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1639689672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 N RANGE RD",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740751985",
            "telephone_number": "405-762-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 N RANGE RD",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740751985",
            "telephone_number": "405-762-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDGEWAY",
        "first_name": "AMBER",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "YUN823211514",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "MOORE",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lawrence Richardson
• Matthew Brent Richardson
• Tamara Richardson, PH.D.
• Trevor Richardson, PH.D.
• Tammy Lynn Richmond, CPRSS
• Linda Fay Rieman
• Amanda Dawn Rilee, BSN, RN
• Aubrey Rimer
• Megan Elizabeth Ripley, DPT
• Alex Rivera, M.ED., LBA, BCBA

• Case Manager/Care Coordinator in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.