Elizabeth Marie Riddle, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

166845 Issued in KY

Practice address

4955 Norton Healthcare Blvd Ste 102
Louisville, KY 40241-2832

Phone

(502) 394-6415

Fax

(502) 244-0684

NPI assigned

Sep 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1790391118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 NORTON HEALTHCARE BLVD STE 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412832",
            "telephone_number": "502-394-6415",
            "fax_number": "502-244-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 NORTON HEALTHCARE BLVD STE 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412832",
            "telephone_number": "502-394-6415",
            "fax_number": "502-244-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37003207A",
            "primary": false
        },
        {
            "code": "133VN1301X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Oncology",
            "state": "KY",
            "license": "166845",
            "primary": false
        },
        {
            "code": "133VN1301X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Oncology",
            "state": "IN",
            "license": "37003207A",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "166845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ricketts, PHARMD
• Lyndsey Alyse Riddell, PHARMD, RPH
• Jan Ridder, ARNP
• Brittany Riddle, LMFT
• Chad Riddle, CRNA
• Jeni Lynn Riddle, M.S., CCC-SLP
• Tyce McKeyan Riddle
• Braxton Harris Rider, D.P.M
• Katherine Lee Rider, PA-C
• Jill B Ridgell, LCSW

• Registered Dietitian in Louisville, KY
• Providers in Louisville, KY by specialty
• Registered Dietitian in Kentucky

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