Kimberly Riddlespurger, FNP-C
Nurse Practitioner, Family in Amarillo, TX. Individual provider (NPI-1).
NPI number1194239079
StatusActive
Last updated in NPPESAug 2, 2018
Details
- NPI
- 1194239079
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Riddlespurger
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 29, 2017
- Last updated
- Aug 2, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP135930 | TX | Yes |
| 363L00000X | Nurse Practitioner | AP135930 | TX |
Practice location
11 Medical DrAmarillo, TX 79106
Phone 806-353-6400
Mailing address
11 Medical DrAmarillo, TX 79106-4137
Phone 806-353-6400
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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