Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHELBY RIDER
NPI 1366130759
Student in an Organized Health Care Education/Training Program in West Columbia, SC

Q: What is Shelby Rider's NPI number?

The NPI number for Shelby Rider is 1366130759. It was assigned to this individual provider in the NPPES registry on April 25, 2023.

Q: What is Shelby Rider's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Shelby Rider was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.

Active since April 25, 2023PECOS Enrolled

145 SUNSET CT STE 100, WEST COLUMBIA, SC 29169(803) 739-3550 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2026, Mar 11, 2025 (2 updates tracked since 2025).

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About Shelby Rider NPPES

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

SHELBY RIDER (NPI 1366130759) is an individual student in an organized health care education/training program in West Columbia, South Carolina and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1366130759

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSHELBY RIDER

Location Address145 SUNSET CT STE 100West Columbia, SC 29169-2464

Mailing Address1501 Kings HwyShreveport, LA 71103-4228

Phone(803) 739-3550

Sole ProprietorYes

Enumeration DateApril 25, 2023

Last NPPES UpdateJuly 8, 20262 updates tracked since enumeration

NPPES CertifiedJuly 8, 2026

✔ NPI 1366130759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

145 SUNSET CT STE 100, West Columbia, SC 29169

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Secondary Practice Locations 3

Location 13016 Longtown Commons Dr Ste 100Columbia, SC 29229-7862 · Phone (803) 314-0500 · Fax (803) 314-0501

Location 2154 Saluda Pointe DrLexington, SC 29072-7295 · Phone (803) 785-3590 · Fax (803) 785-3595

Location 31501 Kings HwyShreveport, LA 71103-4228 · Phone (318) 675-6111

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby Rider is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

DUVAL SAMWARU DO

Student in an Organized Health Care Education/Training Program