Organization Active NPI

Nancy Rider, LLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Spokane, WA
National Provider Identifier
1780779322
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
RN00100823 Issued in WA
Legal business name
NANCY RIDER, LLC
Practice address
507 S Washington
Spokane, WA 99204
Phone
(509) 242-2200
Fax
(509) 242-2202
NPI assigned
Oct 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nancy D Rider, MSN, ARNP
Title
Owner
Phone
(509) 242-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X RN00100823 WA Primary

Addresses

Primary practice location

507 S Washington
Spokane, WA 99204

Mailing address

122 N Raymond
Ste 20
Spokane Valley, WA 99206-6832
Phone (509) 926-1770

National Provider Directory

National Provider Directory

Locations

122 N Raymond Rd
Ste 20
Spokane Valley, WA 99206

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780779322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N RAYMOND",
            "address_2": "STE 20",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066832",
            "telephone_number": "509-926-1770",
            "fax_number": "509-228-9542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S WASHINGTON",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99204",
            "telephone_number": "509-242-2200",
            "fax_number": "509-242-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY RIDER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIDER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-242-2200",
        "authorized_official_credential": "MSN, ARNP"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "WA",
            "license": "RN00100823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.