Active NPI
Monte Vance Ridler, RNFA
- Registered Nurse First Assistant
- Vancouver, WA
National Provider Identifier
1730244534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- RN00133491
- 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, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 098000714RN | OR | MD | Registered Nurse First Assistant |
| RN00133491 | WA | MD | Registered 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.