Heather Michelle Rider

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

72318 Issued in NC

Practice address

4437 Main St
Shallotte, NC 28470-4451

Phone

(910) 754-4449

NPI assigned

Jun 10, 2020

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

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.

• Treatment Centers LLC

  • Community/Behavioral Health Agency
  • Shallotte, NC
  • NPI 1033915509
  NPD
• Treatment Centers LLC

  • Community/Behavioral Health Agency
  • Lexington, NC
  • NPI 1639592900
  NPD (past)

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1972128569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4437 MAIN ST",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704451",
            "telephone_number": "910-754-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4437 MAIN ST",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704451",
            "telephone_number": "910-754-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDER",
        "first_name": "HEATHER",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NC",
            "license": "72318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Repore Consulting
• Austin Reyle, LCMHCA
• Rha Health Services NC, LLC
• Riccobene & Associates I, DDS, P.a.
• Riccobene & Associates Xiii, DDS, P.a.
• Jason Keeley Riemann, D.C.
• Linda Sue Rieth, PHD, LPCA, AFC
• Danielle Ritch
• Alexa Rivera
• Bethania Rorie Robinson, MSW, LCSW

• Licensed Practical Nurse in Shallotte, NC
• Providers in Shallotte, NC by specialty
• Licensed Practical Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.