1528485778 NPI number — BARBARA RUTH RIDDER-REINIG ANP

Table of content: BARBARA RUTH RIDDER-REINIG ANP (NPI 1528485778)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528485778 NPI number — BARBARA RUTH RIDDER-REINIG ANP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RIDDER-REINIG
Provider First Name:
BARBARA
Provider Middle Name:
RUTH
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
ANP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
COOK
Provider Other First Name:
BARBARA
Provider Other Middle Name:
RUTH
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
RN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1528485778
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/26/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
130 RAMPART WAY
Provider Second Line Business Mailing Address:
SUITE 300B
Provider Business Mailing Address City Name:
DENVER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80230
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-327-4700
Provider Business Mailing Address Fax Number:
303-327-4711

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8800 FOX DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
THORNTON
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80260
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
720-536-2460
Provider Business Practice Location Address Fax Number:
720-536-2466
Provider Enumeration Date:
03/26/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  2013005544 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2013005544 . This is a "NP CERT #" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".




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