Elizabeth A Riddle, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10751 Issued in TN

Practice address

136 S Wilson St
Dresden, TN 38225-1133

Phone

(731) 352-7907

Fax

(731) 364-4900

NPI assigned

Oct 5, 2005

Last updated

Oct 5, 2022By the provider in NPPES

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 3

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

Merit-based Incentive Payment System (MIPS)

Final score

93.37 of 100Reported as group

Quality

73.28

Promoting interoperability

95

Improvement activities

40

Cost

79.67

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elizabeth.riddle.1@17574.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/17574/brand/1/csg/1/fhir/r4

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.

• Southern Pain and Regenerative Medicine PC

  • Interventional Pain Medicine Physician
  • Olive Branch, MS
  • NPI 1841799707

  Family, TN

  Medicare reassignment NPD
• Southern Pain and Regenerative Medicine PC

  • Interventional Pain Medicine Physician
  • Union City, TN
  • NPI 1659855252
  NPD
• Bluff City Pain, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Memphis, TN
  • NPI 1790651263
  NPD (past)
• Martin Clinic Corp

  • Family Medicine Physician
  • Martin, TN
  • NPI 1568465102
  NPD (past)
• McKenzie Medical Center PC

  dba Hometown Health Clinic

  • Rural Health Clinic/Center
  • Bruceton, TN
  • NPI 1245401231

  Family

  NPD (past)
• McKenzie Medical Center, PC

  dba Hometown Health Clinic

  • Rural Health Clinic/Center
  • Gleason, TN
  • NPI 1225083991

  Family

  NPD (past)

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1720075633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HOSPITAL DR",
            "address_2": "SUITE A",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382011649",
            "telephone_number": "731-352-7907",
            "fax_number": "731-352-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 S WILSON ST",
            "city": "DRESDEN",
            "state": "TN",
            "postal_code": "382251133",
            "telephone_number": "731-352-7907",
            "fax_number": "731-364-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "10751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "3380640",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1512644",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "3380640",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mallory Pate, FNP-C
• Bethany Porter, PT
• Reba Renee' Pritchett, RN
• Clint Devan Raymer, PA-S
• Donna Lynn Reynolds, RN
• Douglas Keith Roach, PH. D.
• Tracie D. Rogers, NURSE PRACTITIONER
• Sandra L. Smith, APN, FNP-BC
• Kenneth Wayne Springer
• Lindsey Springer

• Family Nurse Practitioner in Dresden, TN
• Providers in Dresden, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.