Active NPI
Galadreil Ridgley
- Case Manager/Care Coordinator
- Colorado Springs, CO
National Provider Identifier
1649856147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 3440 Parkmoor Village Dr Apt V
Colorado Springs, CO 80917-5269 - Phone
- (719) 321-8412
- NPI assigned
- Mar 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
3440 Parkmoor Village Dr Apt V
Colorado Springs, CO 80917-5269
Mailing address
3440 Parkmoor Village Dr Apt V
Colorado Springs, CO 80917-5269
Phone (719) 321-8412
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 263236050 | Medicaid | CO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | otherURL | Direct | Speranza Ranch LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speranza Ranch LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1649856147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3440 PARKMOOR VILLAGE DR APT V",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809175269",
"telephone_number": "719-321-8412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3440 PARKMOOR VILLAGE DR APT V",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809175269",
"telephone_number": "719-321-8412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDGLEY",
"first_name": "GALADREIL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-23",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "263236050",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "otherURL",
"affiliation": "Y",
"affiliationName": "Speranza Ranch LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3204 N Academy Blvd Ste 215",
"city": "Colorado Springs",
"state": "CO",
"country_code": "US",
"postal_code": "809175163",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.