Active NPI
Erica K Ridgley, CM
- Case Manager/Care Coordinator
- Sapulpa, OK
National Provider Identifier
1861786097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 23114
- Practice address
- 121 E Dewey Ave
Sapulpa, OK 74066-4203 - Phone
- (918) 224-9307
- NPI assigned
- Jun 6, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 23114 | OK | Primary |
Addresses
Primary practice location
121 E Dewey Ave
Sapulpa, OK 74066-4203
Mailing address
121 E Dewey Ave
Sapulpa, OK 74066-4203
Phone (918) 949-8867
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23114 | OK | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460419200000",
"number": "1861786097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 E DEWEY AVE",
"city": "SAPULPA",
"state": "OK",
"postal_code": "740664203",
"telephone_number": "918-949-8867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 E DEWEY AVE",
"city": "SAPULPA",
"state": "OK",
"postal_code": "740664203",
"telephone_number": "918-224-9307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDGLEY",
"first_name": "ERICA",
"middle_name": "K",
"credential": "CM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-06",
"last_updated": "2016-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OK",
"license": "23114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sapulpa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.