MEDICARE: MRS. TINA JEANNTTE RIDER LPN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	PN090035	OH

General Provider Information

NPI Number	:	1992920219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TINA JEANNTTE RIDER LPN

Provider Business Mailing Address
First Line	:	6150 LAMBERT RD
Second Line	:
City	:	ROSEVILLE
State	:	OH
Zip	:	43777-9714
Country	:	US
Telephone Number	:	740-221-3444
Fax Number	:

Provider Business Practice Location Address
First Line	:	6150 LAMBERT RD
Second Line	:
City	:	ROSEVILLE
State	:	OH
Zip	:	43777-9714
Country	:	US
Telephone Number	:	740-221-3444
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1699771253 — EXTENDED CARE AIR THERAPY SYSTEMS, INC
Practice Location Address:

7165 PAYNE RD
ROSEVILLE, OH
43777-9711

Practice Phone: 740-697-0845
Practice Fax:

1639154495 — DR. JACK BUTTERFIELD M.D.
Practice Location Address:

167 S MAIN ST
ROSEVILLE, OH
43777-1284

Practice Phone: 740-697-7373
Practice Fax: 740-697-7683

1861449043 — GENESIS HEALTHCARE SYSTEM
Practice Location Address:

157 S MAIN ST
ROSEVILLE, OH
43777-1238

Practice Phone: 740-697-0348
Practice Fax:

1811026453 — VILLAGE OF ROSEVILLE
Practice Location Address:

9 W 1ST ST
ROSEVILLE, OH
43777

Practice Phone: 740-342-9367
Practice Fax:

1871612499 — MS. DONNA JEAN HOLSHUER III
Practice Location Address:

3655 CHARLES ST
ROSEVILLE, OH
43777-9732

Practice Phone: 740-849-3008
Practice Fax:

1437371077 — DAWN M BLAKE
Practice Location Address:

100 1/2 OLD RAINER ROAD
ROSEVILLE, OH
43777

Practice Phone: 740-697-0687
Practice Fax:

Directions to “ MRS. TINA JEANNTTE RIDER LPN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.