THE RIDGE MEDICAL CLINIC
NPI 1104506617
Nurse Practitioner - Family in Forrest City, AR

Active since July 19, 2023
114 N WASHINGTON ST, FORREST CITY, AR 72335(870) 317-5676 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About The Ridge Medical Clinic NPPES

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

THE RIDGE MEDICAL CLINIC (NPI 1104506617) is a healthcare organization registered as a family in Forrest City, Arkansas and active in the NPI registry since July 2023. The organization lists Deanna Kay Michaelis, Full Independent Practice, as its authorized official.

NPPES Registry Identity

NPI1104506617
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTHE RIDGE MEDICAL CLINIC
Location Address114 N WASHINGTON STForrest City, AR 72335-3327
Mailing Address114 N Washington StForrest City, AR 72335-3327 · (870) 317-5676
Organization SubpartNo
Authorized OfficialDeanna Kay MichaelisFull Independent Practice · (870) 317-5676
Enumeration DateJuly 19, 2023
NPPES CertifiedJuly 19, 2023
NPI 1104506617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
114 N WASHINGTON ST, Forrest City, AR 72335

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
114 N WASHINGTON ST
FORREST CITY, AR 72335
Nurse Practitioner (Family)
114 N WASHINGTON ST
FORREST CITY, AR 72335

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 The Ridge Medical Clinic's NPI number?

The NPI number for The Ridge Medical Clinic is 1104506617. It was assigned to this organization in the NPPES registry on July 19, 2023.

Where is The Ridge Medical Clinic located?

The Ridge Medical Clinic is located at 114 N Washington St, Forrest City, AR 72335. The listed phone number is (870) 317-5676.

What is The Ridge Medical Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does The Ridge Medical Clinic accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list The Ridge Medical Clinic 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 The Ridge Medical Clinic was last updated on July 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.