Colleen M Riddle, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN1652182 Issued in FL

Practice address

4220 Shadow Wood Run
Winter Haven, FL 33880-1526

Phone

(863) 808-7861

NPI assigned

Mar 9, 2010

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1972826725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 SHADOW WOOD RUN",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338801526",
            "telephone_number": "863-808-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 SHADOW WOOD RUN",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338801526",
            "telephone_number": "863-808-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "COLLEEN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN1652182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jondarius Lamar Richardson, LPN
• Nacresha Nicole Richardson, APRN
• Kimberlee Cheyann Richardsone
• Melanie Richter, OTR
• Jordan Silvey Rickman, RD
• Jerilynn Riddle
• Ridge Pathology Consultants
• Ridgewood Emergency Group, LLC
• Jackie Righetti, LPT
• Diana Sophia Riley

• Registered Nurse in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.