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STANLEY LEE RIDNER III
NPI 1083750590
Nurse Practitioner in Johnson City, TN

Active since January 30, 2007
365 STOUT DRIVE, SUITE 160, JOHNSON CITY, TN 37614(423) 439-4225(423) 439-4560 Get Directions Write a Review

NPPES record last updated: January 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stanley Lee Ridner Iii NPPES

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

STANLEY LEE RIDNER III (NPI 1083750590) is an individual nurse practitioner in Johnson City, Tennessee, licensed in Tennessee (23528) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1083750590
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameSTANLEY LEE RIDNER III
Location Address365 STOUT DRIVE, SUITE 160Johnson City, TN 37614
Mailing Address501 E Broadway, 290Louisville, KY 40202-1785 · (502) 217-5134 · Fax (502) 217-5056
Phone(423) 439-4225
Fax(423) 439-4560
Sole ProprietorNo
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJanuary 22, 2018
✔ NPI 1083750590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TN · 23528
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
365 STOUT DRIVE, Johnson City, TN 37614
Open in Google Maps ↗

Other Identifiers 1

Other23528TN · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONNA C. FRAYSIER MSN, ACNS-BC, APN
Clinical Nurse Specialist (Adult Health)
365 STOUT DRIVE, NICKS HALL, ROOM 160
JOHNSON CITY, TN 37614
Washington County (423) 439-4225
MEIRA YASIN
Nurse Practitioner (Psychiatric/Mental Health)
365 STOUT DRIVE, SUITE 160
JOHNSON CITY, TN 37614
Washington County (423) 433-6057
EAST TENNESSEE STATE UNIVERSITY
Clinic/Center (Multi-Specialty)
365 STOUT DRIVE, NICKS HALL RM 160
JOHNSON CITY, TN 37614
Washington County (423) 439-4225
TALISHA ETTINA LEEANN TROUTT FNP
Nurse Practitioner (Family)
365 STOUT DRIVE, SUITE 160
JOHNSON CITY, TN 37614
Washington County (423) 439-4225
RETHA D GENTRY DNP
Nurse Practitioner (Family)
365 STOUT DRIVE, NICKS HALL ROOM 160
JOHNSON CITY, TN 37614
Washington County (423) 439-4225

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 Stanley Ridner's NPI number?

The NPI number for Stanley Ridner is 1083750590. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Stanley Ridner located?

Stanley Ridner practices at 365 Stout Drive Suite 160, Johnson City, TN 37614. The listed phone number is (423) 439-4225.

What is Stanley Ridner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

What insurance does Stanley Ridner accept?

Health plans from CareSource list Stanley Ridner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stanley Ridner was last updated on January 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.