Individual provider Active NPI

Rydell L Todicheeney, PHD, APRN, ACNS-BC

  • Clinical Nurse Specialist
  • Seaside, CA
National Provider Identifier
1689313983
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
2819 Issued in CA
Practice address
1305 Yosemite St
Seaside, CA 93955-5634
Phone
(602) 315-1315
NPI assigned
Jun 3, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X AP7305 AZ
Clinical Nurse Specialist 364S00000X 2819 CA Primary

Addresses

Primary practice location

1305 Yosemite St
Seaside, CA 93955-5634

Mailing address

1305 Yosemite St
Seaside, CA 93955-5634
Phone (602) 315-1315

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2819CAMDSchool Psychologist
AP7305AZMDClinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1689313983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 YOSEMITE ST",
            "city": "SEASIDE",
            "state": "CA",
            "postal_code": "939555634",
            "telephone_number": "602-315-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 YOSEMITE ST",
            "city": "SEASIDE",
            "state": "CA",
            "postal_code": "939555634",
            "telephone_number": "602-315-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODICHEENEY",
        "first_name": "RYDELL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHD, APRN, ACNS-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "AZ",
            "license": "AP7305",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "CA",
            "license": "2819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.