Caroline Grace Rideout

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA14267 Issued in AZ

Practice address

5430 W Glenn Dr
Glendale, AZ 85301-2628

Phone

(623) 915-0345

NPI assigned

May 30, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Center for Neurodevelopmental Studies

  • Specialist
  • Glendale, AZ
  • NPI 1851486369
  NPD (past)
• The Childrens Center for Neurodevelopmental Studies

  • Early Intervention Provider Agency
  • Glendale, AZ
  • NPI 1053577023
  NPD (past)

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1699515247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 W GLENN DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853012628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 W GLENN DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853012628",
            "telephone_number": "623-915-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDEOUT",
        "first_name": "CAROLINE",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA14267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Richardson
• Johanna-Marie Richey, DPM
• Marisa Riddle, CRNA
• Spencer M Riddle, PHARM. D.
• Ridelink LLC
• Journey Rideout
• Ridesource Holdings
• Ridesource Inc
• Ellen Brandfon Riech, PHD
• Foli Riegle, OTR

• Speech-Language Assistant in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.