Brianna Leigh Rider, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

11030760 Issued in FL

Practice address

8990 Navarre Pkwy
Navarre, FL 32566-2216

Phone

(850) 396-0108

NPI assigned

Aug 31, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brianna.rider.1@21123.direct.athenahealth.com

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.

• White-Wilson Medical Center PA

  dba White-Wilson Medical Center

  • Clinic/Center
  • Fort Walton Beach, FL
  • NPI 1467437277

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1982372413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8990 NAVARRE PKWY",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325662216",
            "telephone_number": "850-396-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8990 NAVARRE PKWY",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325662216",
            "telephone_number": "850-396-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDER",
        "first_name": "BRIANNA",
        "middle_name": "LEIGH",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "11030760",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-181240",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Reynolds, RD
• Alora Reynolds
• Richard Reed, OD, PA
• Lauren Nicole Richards, PT, DPT
• Matthew L Rickett, D.O.M.
• Stormy Robbins
• Abigail Rodamaker, BCBA
• Christine Rodriguez, LCSW
• Lacey Rohlman
• Rebecca Lynne Rosenburg

• Pediatric Nurse Practitioner in Navarre, FL
• Providers in Navarre, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.