Riverside Family Clinic, Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

28140893A Issued in IN

Legal business name

RIVERSIDE FAMILY CLINIC, INC

Practice address

328 N 2ND St, Suite 102
Vincennes, IN 47591

Phone

(812) 291-5993

Fax

(812) 316-1117

NPI assigned

Oct 19, 2015

Organization subpart

No

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

Authorized official

Name

Andrea L Stephens, FNP-CNPI 1588854632

Title

Owner/Operator

Phone

(812) 291-5993

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea L Stephens, FNP-C

  • Family Nurse Practitioner
  • Columbus, IN
  • NPI 1588854632
  Medicare reassignment NPD Authorized official
• Patricia Nicole Martin, FNP-BC

  • Primary Care Nurse Practitioner
  • Indianapolis, IN
  • NPI 1477223766
  Medicare reassignment NPD
• Denah F Perry, NP

  • Family Nurse Practitioner
  • Washington, IN
  • NPI 1437255825
  Medicare reassignment NPD
• Danny D Linkenhoker, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Vincennes, IN
  • NPI 1619075322
  NPD (past)

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1821469602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 436",
            "address_2": "328 N 2ND ST, SUITE 102",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "47591",
            "telephone_number": "812-291-5993",
            "fax_number": "812-316-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 N 2ND ST, SUITE 102",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "47591",
            "telephone_number": "812-291-5993",
            "fax_number": "812-316-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE FAMILY CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "812-291-5993",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28140893A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabitha Rickert
• Amy Ridgley, MS, NCC
• Camryn Riggle
• Heather Ann Riley-Hanson, MHS, CCC-SLP
• Crystal M Rinehart, LCSW
• Breanna Roach
• Lesley Ann Roache, MS, OTR
• Britni Lynn Roark, AGACNP-BC
• Mary Robb
• Jessy Robbins, MS PHD LMT

• Family Nurse Practitioner in Vincennes, IN
• Providers in Vincennes, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.