Active NPI
Samuel C Ridge
- Case Manager/Care Coordinator
- Lincoln, NE
National Provider Identifier
1982900148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2201 S 17TH St
Lincoln, NE 68502-3713 - Phone
- (402) 441-7940
- Fax
- (402) 441-8625
- NPI assigned
- Feb 7, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NE | Primary |
Addresses
Primary practice location
2201 S 17TH St
Lincoln, NE 68502-3713
Mailing address
2201 S 17TH St
Lincoln, NE 68502-3713
Phone (402) 441-7940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297123200000",
"number": "1982900148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 S 17TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685023713",
"telephone_number": "402-441-7940",
"fax_number": "402-441-8625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 S 17TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685023713",
"telephone_number": "402-441-7940",
"fax_number": "402-441-8625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDGE",
"first_name": "SAMUEL",
"middle_name": "C",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-07",
"last_updated": "2011-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NE",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.