Constance Riddle, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

44492 Issued in KS

Practice address

3600 E Harry St
Wichita, KS 67218-3713

Phone

(316) 268-5775

Fax

(316) 291-7496

NPI assigned

May 27, 2006

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

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Cep America - Kansas LLC

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1659768125
  Medicare reassignment NPD
• Emergent Care Plus of Overland Park, LLC

  • Urgent Care Clinic/Center
  • Leavenworth, KS
  • NPI 1811224371
  Medicare reassignment NPD
• Cep America - Kansas LLC

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1790172260
  NPD
• Cep America - Kansas LLC

  • Emergency Medicine Physician
  • Wellington, KS
  • NPI 1932704608
  NPD
• Emergent Care Plus, LLC

  • Urgent Care Clinic/Center
  • Lees Summit, MO
  • NPI 1396923181
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1689621617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 E HARRY ST",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670028779",
            "telephone_number": "316-640-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183713",
            "telephone_number": "316-268-5775",
            "fax_number": "316-291-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "CONSTANCE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "44492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200006200D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ricks Pharmacy and Wellness Inc
• Chafonn M Ricks
• Nichole M Riddel, M.D.
• Bart Ridder
• Madison Brooke Ridder
• Joshua L Riddle, RBT
• Rachel Rider, PA-C
• Todd Anthony Ridge, ANP
• Ridgewood Surgery and Endoscopy Center LLC
• Tara L Riedel, APRN

• Family Nurse Practitioner in Wichita, KS
• Providers in Wichita, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.