Active NPI
Elizabeth Riddle, CRNP
- Nurse Practitioner
- Tullahoma, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 196188
- Practice address
- 1805 N Jackson St Ste 11
Tullahoma, TN 37388 - Phone
- (931) 455-9118
- NPI assigned
- Aug 22, 2016
- Last updated
- Jul 28, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1-140718 | AL | |
| Nurse Practitioner | 363L00000X | 196188 | TN | Primary |
Addresses
Primary practice location
1805 N Jackson St Ste 11
Tullahoma, TN 37388
Mailing address
1805 N Jackson St Ste 11
Tullahoma, TN 37388-2275
Phone (931) 455-9118
Other practice location 1
1 Hospital Dr SW
Huntsville, AL 35801-6455
Phone (256) 429-4000
Other practice location 2
1 Hospital Dr SW
Huntsville, AL 35801-6455
Phone (256) 429-4000
Other practice location 3
809 Shoney Dr SW Ste 202
Huntsville, AL 35801-5309
Phone (256) 883-0098
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1503 Hatcher LN
Suite 201
Columbia, TN 38401-4833
Phone (931) 381-4090
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-140718 | AL | MD | Nurse Practitioner |
| 196188 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospices of America - Tennessee, LLC | Current | Accepting new patients | |
| Associates in Gastroenterology, PC | Past | Accepting new patients | |
| Community Hospices of America - Tennessee, LLC | Past | Accepting new patients | |
| Associates in Gastroenterology, PC | Past | Accepting new patients |
Locations
10 Cadillac Dr
Ste 400
Brentwood, TN 37027
Phone (615) 637-9163
1503 Hatcher Ln
Ste 200
Columbia, TN 38401
Phone (931) 236-3116
1503 Hatcher Ln
Ste 201
Columbia, TN 38401
Phone (931) 381-4090
181 Prosser Rd
Lawrenceburg, TN 38464
Phone (931) 766-3745
1805 N Jackson St
Ste 11
Tullahoma, TN 37388
Phone (931) 455-9118
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hospice Compassus - The Highland Rim
- Hospice and Palliative Medicine (Family Medicine) Physician
- Tullahoma, TN
- NPI 1548710981
-
dba Hospice Compassus - The Highland Rim
- Community Based Hospice Care Agency
- Tullahoma, TN
- NPI 1205869955
-
- Medical Specialty Clinic/Center
- Huntsville, AL
- NPI 1194138305
-
- Medical Specialty Clinic/Center
- Huntsville, AL
- NPI 1891872636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564272000000",
"number": "1891240743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 N JACKSON ST STE 11",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373882275",
"telephone_number": "931-455-9118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 N JACKSON ST STE 11",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "37388",
"telephone_number": "931-455-9118"
}
],
"practiceLocations": [
{
"address_1": "1 Hospital Dr SW",
"address_purpose": "LOCATION",
"city": "Huntsville",
"state": "AL",
"postal_code": "358016455",
"country_code": "US",
"telephone_number": "256-429-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Hospital Dr SW",
"address_purpose": "LOCATION",
"city": "Huntsville",
"state": "AL",
"postal_code": "358016455",
"country_code": "US",
"telephone_number": "256-429-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "809 Shoney Dr SW Ste 202",
"address_purpose": "LOCATION",
"city": "Huntsville",
"state": "AL",
"postal_code": "358015309",
"country_code": "US",
"telephone_number": "256-883-0098",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIDDLE",
"first_name": "ELIZABETH",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-22",
"last_updated": "2019-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1-140718",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "196188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tullahoma, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.