Individual provider Active NPI

Naccolaine Ridgeway, WHNP-BC

  • Women's Health Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1710374855
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
37321 Issued in TN
Practice address
617 S 8TH St
Nashville, TN 37206-3819
Phone
(615) 227-3000
NPI assigned
Apr 15, 2015
Last updated
Nov 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP127858 TX
Women's Health Nurse Practitioner 363LW0102X 37321 TN Primary

Addresses

Primary practice location

617 S 8TH St
Nashville, TN 37206-3819

Mailing address

2711 Foster Ave
Nashville, TN 37210-5307
Phone (615) 227-3000

Other identifiers 2

IdentifierTypeStateIssuer
3707424-03MedicaidTX
370742401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20241226000579 TN Practitioner - Nurse Practitioner 0547572240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

601 W Due W Ave
Madison, TN 37115-4423
Phone (615) 227-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37321TNMDWomen's Health Nurse Practitioner
AP127858TXMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Neighborhood Health Services, Inc CurrentSince Nov 18, 2024 Accepting new patients
United Neighborhood Health Services, Inc. CurrentSince Nov 18, 2024 Accepting new patients
United Neighborhood Health Services, Inc Current Accepting new patients

Locations

601 W Due West Ave
Madison, TN 37115
Phone (615) 335-5194

2711 Foster Ave
Nashville, TN 37210
Phone (615) 620-8647

419 Welshwood Dr
Nashville, TN 37211
Phone (615) 331-1200

617 S 8th St
Nashville, TN 37206
Phone (615) 226-1695

Interoperability endpoints

  • Direct secure messaging: naccolaine.ridgeway.p1@direct.neighborhoodhealthtn.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1710374855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 FOSTER AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372105307",
            "telephone_number": "615-227-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 S 8TH ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372063819",
            "telephone_number": "615-227-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDGEWAY",
        "first_name": "NACCOLAINE",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-15",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "AP127858",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TN",
            "license": "37321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3707424-03",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370742401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.