BROOKE RIORDAN
Nurse Practitioner (Family)

Address: 1670 Kettner Blvd Apt 408, San Diego, CA 92101-2559

BROOKE RIORDAN (NPI# 1508456880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508456880
Entity Type Individual
Full Name BROOKE RIORDAN
Gender Female
Credential FNP-C
Practice Address 1670 Kettner Blvd Apt 408
San Diego
CA 92101-2559
Practice Telephone 3606303748
Mailing Address 1670 Kettner Blvd Apt 408
San Diego
CA 92101-2559
Mailing Telephone 3606303748
Certification Date 2020-10-01
Enumeration Date 2021-01-21
Last Update Date 2021-01-21
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
28272 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN 28272 MEDICAID

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
Other URL brookeriordan10@gmail.com (email) 1670 Kettner Blvd Apt 408, San Diego, CA 921012559 Direct

Office Location

Street Address 1670 KETTNER BLVD APT 408
City SAN DIEGO
State CA
Zip Code 92101-2559

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1487172516 Jessica Roach Counselor 1045 9th Avenue, San Diego, CA 92101 2017-09-09
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669060992 Rachel Tagum Samson · Rachel Lagrimas Tagum 1565 Hotel Cir S Ste 320, San Diego, CA 92108-3425 2021-01-03
1467058362 Shaylyn White 3325 Cherokee Ave, San Diego, CA 92104-4412 2020-12-07
1497358915 Allyssa Perez 200 W Arbor Dr # 8687, San Diego, CA 92103-1911 2020-11-18
1982203097 Rebecca Dolores Garcia 2440 Curlew St, San Diego, CA 92101-1327 2020-10-20
1003415472 Ryanleo Flores 2017 1st Avenue, Suite 301, San Diego, CA 92101 2020-10-18
1083226245 Allison Floyd 3652 Texas St, San Diego, CA 92104-4044 2020-08-19
1386255248 Helen Hyeyoung Hong 5140 Caminito Exquisito, San Diego, CA 92130-2852 2020-08-13
1134747595 Dawn Elyse Rose 10251 Vista Sorrento Pkwy, San Diego, CA 92121-3774 2020-07-10
1982232591 John Meier 3745 Riviera Dr Apt 10, San Diego, CA 92109-6661 2020-03-30
1013543008 Alex Choi Mara 5248 Zephyr Ln Unit 24, San Diego, CA 92120-2749 2020-03-21
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Competitor

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City SAN DIEGO
Zip Code 92101

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.