Individual provider Active NPI

Jonathan Dru Riddle, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Worth, TX
National Provider Identifier
1720085996
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN0000010931 Issued in TN
Practice address
4916 Overton PLZ
Ft Worth, TX 76109-4415
Phone
(817) 734-7980
NPI assigned
Jul 3, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APN0000010931 TN Primary

Addresses

Primary practice location

4916 Overton PLZ
Ft Worth, TX 76109-4415

Mailing address

4916 Overton PLZ
Ft Worth, TX 76109-4415
Phone (817) 734-7980

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060315000358 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8224083092 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia III PAGroup PAC ID 0042630501, 393 clinicians
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

1400 8TH Ave
Fort Worth, TX 76104-4110
Phone (817) 926-2544

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
APN0000010931TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Anesthesia Group, PLLC CurrentSince Jun 16, 2016 Accepting new patients
Healthtexas Provider Network CurrentSince Sep 7, 2025 Accepting new patients
Northstar Anesthesia III PA Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2022 Accepting new patients
Palo Pinto County Hospital District Current Accepting new patients
Palo Pinto County Hospital District CurrentSince Jul 1, 2011 Accepting new patients
Northstar Anesthesia II PA Nurse Anesthetist, Certified Registered CurrentSince Sep 11, 2018 Accepting new patients
Southwest Anesthesiology Consultants PLLC CurrentSince Oct 25, 2017 Accepting new patients
Healthtexas Provider Network CurrentSince Sep 7, 2025 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
Palo Pinto County Hospital District Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2011 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Mar 30, 2006 Accepting new patients
Benchmark Anesthesia Consultants PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Alliance Anesthesia Associates, PA Nurse Anesthetist, Certified Registered Past Accepting new patients
West Tennessee Anesthesia, PC Nurse Anesthetist, Certified Registered PastSince Apr 4, 2011 Accepting new patients
Clearwater Anesthesia PLLC Nurse Anesthetist, Certified Registered PastSince Sep 1, 2004 Accepting new patients
Cityview Surgery Center LLC PastSince May 7, 2024 Accepting new patients
South Arlington Surgical Providers, LLC PastSince Jan 5, 2020 Accepting new patients

Locations

2000 E Lamar Blvd
Ste 400
Arlington, TX 76006
Phone (817) 861-3994

350 E Interstate 20
Ste 200
Arlington, TX 76018
Phone (214) 254-4299

411 Central Park Dr
Arlington, TX 76014
Phone (817) 784-8300

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

5494 Glen Lakes Dr
Dallas, TX 75231
Phone (214) 692-6220

7115 Greenville Ave
Ste 100
Dallas, TX 75231
Phone (214) 647-5300

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

900 8th Ave
Ft Worth, TX 76104
Phone (817) 336-2100

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720085996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4916 OVERTON PLZ",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761094415",
            "telephone_number": "817-734-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4916 OVERTON PLZ",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761094415",
            "telephone_number": "817-734-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "JONATHAN",
        "middle_name": "DRU",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN0000010931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.