Jennifer Anne Ridewood, DNP, CPNP, RN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

202222626 Issued in NC

Practice address

2706 Medical Office PL
Goldsboro, NC 27534-9462

Phone

(919) 734-4736

NPI assigned

Mar 25, 2022

Last updated

Jan 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• Goldsboro Pediatrics PA

  • Pediatrics Physician
  • Goldsboro, NC
  • NPI 1427125269
  NPD (past)
• Goldsboro Pediatrics PA

  • Rural Health Clinic/Center
  • Princeton, NC
  • NPI 1437927662
  NPD (past)

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1639829443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 ASHER VIEW CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276064854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 MEDICAL OFFICE PL",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349462",
            "telephone_number": "919-734-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDEWOOD",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "DNP, CPNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NC",
            "license": "296169",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "202222626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Harrell Richards, CRNA
• Jennifer Maclaughlin Richards, M.D.
• Matthew B Richman, DDS
• Leslie Ricker
• Christopher Tyler Ricks, PT, DPT
• Shannon Elizabeth Riggleman
• Judith Denise Riley, D.O.
• Tracie Jones Riley
• Lina M Rios, LCMHC
• Baraka Riptoe

• Pediatric Nurse Practitioner in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Pediatric Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.