Individual provider Active NPI

Shirley Ridley, RN

  • Case Management Registered Nurse
  • Harrisburg, PA
National Provider Identifier
1831537612
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
RN618483 Issued in PA
Practice address
1913 Caledonia St
Suite 2B
Harrisburg, PA 17104-2932
Phone
(717) 657-7626
Fax
(717) 657-1918
NPI assigned
Jun 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X RN618483 PA Primary

Addresses

Primary practice location

1913 Caledonia St
Suite 2B
Harrisburg, PA 17104-2932

Mailing address

1913 Caledonia St
2B
Harrisburg, PA 17104-2932
Phone (717) 657-7626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1831537612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 CALEDONIA ST",
            "address_2": "2B",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171042932",
            "telephone_number": "717-657-7626",
            "fax_number": "717-657-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 CALEDONIA ST",
            "address_2": "SUITE 2B",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171042932",
            "telephone_number": "717-657-7626",
            "fax_number": "717-657-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDLEY",
        "first_name": "SHIRLEY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "PA",
            "license": "RN618483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.