Latrese L Riddick

Primary specialty

DriverTaxonomy code 172A00000X

License

203735-700786 Issued in VA

Practice address

418 Jackson St
Suffolk, VA 23434

Phone

(757) 214-4416

Fax

(758) 809-1822

NPI assigned

Aug 25, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• A Caring Hand Transportation L.L.C.

  • Non-emergency Medical Transport (VAN)
  • Suffolk, VA
  • NPI 1063996031
  NPD Authorized official
• Ach Home Services LLC

  • Home Health Agency
  • Suffolk, VA
  • NPI 1093579807
  NPD Authorized official

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

{
    "created_epoch": "1535155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1730660952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 JACKSON ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234345315",
            "telephone_number": "757-214-4416",
            "fax_number": "758-809-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 JACKSON ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "23434",
            "telephone_number": "757-214-4416",
            "fax_number": "758-809-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDICK",
        "first_name": "LATRESE",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-25",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "VA",
            "license": "203735-700786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Rich
• Richard a. Kaye, D.O.
• Bridget Marnien Richardson, MA
• Erik Jon Richardson, PA
• Ka'Deem Riddick
• Ride VA Medical Transport Services of Virginia LLC
• Riding With My Angels, LLC
• Jessica Lynn Rinehart
• Robert Sean Rinehart, CRNA
• Rite Aid of Virginia Inc

• Driver in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Driver in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.