Individual provider Active NPI

Monte Vance Ridler, RNFA

  • Registered Nurse First Assistant
  • Vancouver, WA
National Provider Identifier
1730244534
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
RN00133491 Issued in WA
Practice address
612 Cedar St
Vancouver, WA 98661-5544
Phone
(360) 696-9601
Fax
(360) 696-9601
NPI assigned
Dec 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X OR
Registered Nurse First Assistant 163WR0006X RN00133491 WA Primary

Addresses

Primary practice location

612 Cedar St
Vancouver, WA 98661-5544

Mailing address

PO Box 873208
Vancouver, WA 98687-3208
Phone (360) 696-9601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
098000714RNORMDRegistered Nurse First Assistant
RN00133491WAMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730244534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 873208",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986873208",
            "telephone_number": "360-696-9601",
            "fax_number": "360-696-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 CEDAR ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986615544",
            "telephone_number": "360-696-9601",
            "fax_number": "360-696-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDLER",
        "first_name": "MONTE",
        "middle_name": "VANCE",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "WA",
            "license": "RN00133491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.