Teresa M Riddle

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Practice address

3805 N 54TH St
Tampa, FL 33619-1045

Phone

(813) 841-5485

NPI assigned

Jan 18, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marsibella'S Alf Inc

  • Developmental Disabilities Clinic/Center
  • Tampa, FL
  • NPI 1508572637
  NPD Authorized official

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1891400420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 N 54TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336191045",
            "telephone_number": "813-841-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 N 54TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336191045",
            "telephone_number": "813-841-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "TERESA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rico Lab Services
• Juan Felipe Rico, MD
• Nicole Carnevalla Riddell, M.D.
• Scott R. Riddell, MD
• Emma Rouse Riddle, PA-C
• Ride Well Transportation L.L.C
• Ride2Care Transportation LLC
• Emily Rider, LCSW
• Monica Raquel Rider, D.O
• Nancy Rider, R.D.H.

• Developmental Disabilities Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.