LESLIE RIDDLE
NPI 1639750169
Nurse Practitioner - Family in Provo, UT

Q: What is Leslie Riddle's NPI number?

The NPI number for Leslie Riddle is 1639750169. It was assigned to this individual provider in the NPPES registry on April 16, 2021.

Q: What is Leslie Riddle's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Leslie Riddle was last updated on December 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 16, 2021

1231 CAMELOT DR, PROVO, UT 84601(801) 691-9875 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 18, 2022, Apr 16, 2021 (2 updates tracked since 2021).

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About Leslie Riddle NPPES

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

LESLIE RIDDLE (NPI 1639750169) is an individual family provider in Provo, Utah, licensed in Utah (277694-4405) and active in the NPI registry since April 2021. She maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1639750169

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLESLIE RIDDLE

Location Address1231 CAMELOT DRProvo, UT 84601-1454

Mailing Address1840 S 1300 ESalt Lake City, UT 84105-3617

Phone(801) 691-9875

Sole ProprietorNo

Enumeration DateApril 16, 2021

Last NPPES UpdateDecember 29, 20232 updates tracked since enumeration

NPPES CertifiedDecember 29, 2023

✔ NPI 1639750169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in UT · 277694-4405

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1231 CAMELOT DR, Provo, UT 84601

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Secondary Practice Location 1

Location 11840 S 1300 ESalt Lake City, UT 84105-3617 · Phone (801) 832-2200

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 Leslie Riddle's NPI number?

The NPI number for Leslie Riddle is 1639750169. It was assigned to this individual provider in the NPPES registry on April 16, 2021.

Where is Leslie Riddle located?

Leslie Riddle practices at 1231 Camelot Dr, Provo, UT 84601. The listed phone number is (801) 691-9875.

What is Leslie Riddle's specialty?

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

When was this NPI record last updated?

The NPPES record for Leslie Riddle was last updated on December 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.