KIMBERLY LYNN RIDALL-VILLAGOMEZ MED
NPI 1043986748
Counselor - School in Jackson, GA

Q: What is Kimberly Ridall-villagomez's NPI number?

The NPI number for Kimberly Ridall-villagomez is 1043986748. It was assigned to this individual provider in the NPPES registry on August 22, 2021. The provider is also known as Kimberly Lynn Ridall Med.

Q: What is Kimberly Ridall-villagomez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

Active since August 22, 2021

771 BROWNLEE RD, JACKSON, GA 30233(910) 920-7357 Get Directions Write a Review

NPPES record last updated: August 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kimberly Lynn Ridall-villagomez Med NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY LYNN RIDALL-VILLAGOMEZ MED (NPI 1043986748) is an individual school provider in Jackson, Georgia and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1043986748

Entity TypeIndividualFemale

Primary Taxonomy101YS0200X

Provider Legal NameKIMBERLY LYNN RIDALL-VILLAGOMEZCredential: MED

Location Address771 BROWNLEE RDJackson, GA 30233-2413

Mailing Address771 Brownlee RdJackson, GA 30233-2413 · (910) 920-7357

Phone(910) 920-7357

Sole ProprietorYes

Enumeration DateAugust 22, 2021

NPPES CertifiedAugust 22, 2021

✔ NPI 1043986748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers

Taxonomy Code101YS0200X

771 BROWNLEE RD, Jackson, GA 30233

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Other Names 1

Former Name (1)Kimberly Lynn Ridall Med

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Ridall-villagomez's NPI number?

The NPI number for Kimberly Ridall-villagomez is 1043986748. It was assigned to this individual provider in the NPPES registry on August 22, 2021. The provider is also known as Kimberly Lynn Ridall Med.

Where is Kimberly Ridall-villagomez located?

Kimberly Ridall-villagomez practices at 771 Brownlee Rd, Jackson, GA 30233. The listed phone number is (910) 920-7357.

What is Kimberly Ridall-villagomez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

When was this NPI record last updated?

The NPPES record for Kimberly Ridall-villagomez was last updated on August 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.