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KEVIN W RIDDLEBERGER P.A.
NPI 1396745683
Physician Assistant - Surgical in Longmont, CO

Active since July 28, 2005
1551 PROFESSIONAL LN, SUITE 200, LONGMONT, CO 80501(303) 772-1600(303) 772-9317 Get Directions Write a Review

NPPES record last updated: November 9, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin W Riddleberger P.a. NPPES

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

KEVIN W RIDDLEBERGER P.A. (NPI 1396745683) is an individual surgical provider in Longmont, Colorado, licensed in Colorado (1801) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1396745683
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameKEVIN W RIDDLEBERGERCredential: P.A.
Location Address1551 PROFESSIONAL LN, SUITE 200Longmont, CO 80501-6972
Mailing Address1551 Professional Ln, Suite 200Longmont, CO 80501-6972 · (303) 772-1600 · Fax (303) 772-9317
Phone(303) 772-1600
Fax(303) 772-9317
Sole ProprietorNo
Enumeration DateJuly 28, 2005
Last NPPES UpdateNovember 9, 2010
✔ NPI 1396745683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CO · 1801
Also ListedPhysician AssistantTaxonomy 363A00000X · License 1801 (CO)
1551 PROFESSIONAL LN, Longmont, CO 80501
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Other Identifiers 3

Medicare UPINQ02307
Medicare PIN809242CO
Medicaid54570867CO

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.

MS. SABRINA D REED CNP, APRN-NP, FNP
Nurse Practitioner
1551 PROFESSIONAL LN, SUITE 200
LONGMONT, CO 80501
Boulder County (720) 494-3221
CHRISTY LYNNAE ESTOLL CNM
Advanced Practice Midwife
1551 PROFESSIONAL LN
LONGMONT, CO 80501
Boulder County (303) 315-0400
HEALTHER LYNN STOKES P.T.
Physical Therapist
1551 PROFESSIONAL LN, #145
LONGMONT, CO 80501
Boulder County (720) 494-3290
DR. KRISTIN M BAIRD M.D.
Dermatology
1551 PROFESSIONAL LN, SUITE 135
LONGMONT, CO 80501
Boulder County (303) 532-2810
KATHLEEN MARIE STUPANSKY P.T.
Physical Therapist
1551 PROFESSIONAL LN, #145
LONGMONT, CO 80501
Boulder County (720) 494-3290
LYDIA M. MURPHEY M.S.P.T.
Physical Therapist
1551 PROFESSIONAL LN, #145
LONGMONT, CO 80501
Boulder County (720) 494-3290
DR. ALLISON ELISE MORRISON MD
Dermatology
1551 PROFESSIONAL LN, SUITE 135
LONGMONT, CO 80501
Boulder County (303) 532-2810
DOUGLAS C MITCHELL MD PROFESSIONAL
Anesthesiology
1551 PROFESSIONAL LN, SUITE 100
LONGMONT, CO 80501
Boulder County (720) 494-3200

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 Kevin Riddleberger's NPI number?

The NPI number for Kevin Riddleberger is 1396745683. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Kevin Riddleberger located?

Kevin Riddleberger practices at 1551 Professional Ln Suite 200, Longmont, CO 80501. The listed phone number is (303) 772-1600.

What is Kevin Riddleberger's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Kevin Riddleberger was last updated on November 9, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.