Active NPIIndividual providerSole proprietor

Katherine Riddle

Obstetrics & Gynecology in South Windsor, Connecticut

NPI Number1669866588
Practice location
2600 Tamarack Ave Ste 200, South Windsor, CT 06074-5560
Fax
—
Last updated
January 22, 2020

Katherine Riddle is an Obstetrics & Gynecology based in South Windsor, CT. Katherine Riddle practices in South Windsor, CT. The NPI Number for Katherine Riddle is 1669866588 and holds a License No. 63724 (CT). The current practice location address for Katherine Riddle is 2600 Tamarack Ave Ste 200, South Windsor, CT 06074-5560 and can be reached out via phone at 860-646-1157.

Provider Profile Details

NPI Number
1669866588
Provider Name
Katherine Riddle
Provider Entity Type
Individual
Gender
Female
Address
2600 Tamarack Ave Ste 200, South Windsor, CT 06074-5560
Phone Number
860-646-1157
Primary Taxonomy
Obstetrics & Gynecology · 207V00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 28, 2015
Last Update Date
January 22, 2020
Certification Date
January 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
2600 Tamarack Ave Ste 200
South Windsor, CT 06074-5560
Zip
06074-5560
Phone Number
860-646-1157
South Windsor, CT 06074Get directions →

Provider Business Mailing Address Details

Address
2600 Tamarack Ave Ste 200
South Windsor, CT 06074-5560
City
South Windsor
State
CT
Zip
06074-5560
Phone Number
203-641-0800

License Information

License Number (2)
63724
License State (2)
CT
Taxonomy (2)
Obstetrics & Gynecology · 207V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Katherine Riddle?

The NPI number of Katherine Riddle is 1669866588. It was assigned on March 28, 2015 and is currently active in the NPPES registry.

What is the specialty of Katherine Riddle?

Katherine Riddle is registered under the primary taxonomy Obstetrics & Gynecology (code 207V00000X), licensed in CT under license number 63724.

Where does Katherine Riddle practice?

The practice location is 2600 Tamarack Ave Ste 200, South Windsor, CT 06074-5560. The office can be reached at 860-646-1157 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669866588 directly on the NPPES registry website.

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