MEDICARE: MRS. TERESA L RIDER FNP-BC

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	363LF0000X	Family Nurse Practitioner	71003919A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000757297	OTHER		ANTHEM (BCBS)

General Provider Information

NPI Number	:	1659645273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TERESA L RIDER FNP-BC

Provider Business Mailing Address
First Line	:	203 E MAIN ST
Second Line	:
City	:	RICHMOND
State	:	IN
Zip	:	47374-4208
Country	:	US
Telephone Number	:	765-973-9294
Fax Number	:	765-973-9233

Provider Business Practice Location Address
First Line	:	203 E MAIN ST
Second Line	:
City	:	RICHMOND
State	:	IN
Zip	:	47374
Country	:	US
Telephone Number	:	765-973-9294
Fax Number	:	765-973-9233

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

Provider Enumeration Date	:	02/29/2012
Last Update Date	:	04/23/2026

Similar Medicare Providers

1710109194 — LIFETIME DENTAL CARE OF INDIANA, PC
Practice Location Address:

1429 CHESTER BLVD STE A
RICHMOND, IN
47374-1919

Practice Phone: 765-962-1519
Practice Fax: 765-966-0081

1609711191 — CAITLYNN ANN WILLETT
Practice Location Address:

3771 S A ST
RICHMOND, IN
47374-6053

Practice Phone: 765-598-4197
Practice Fax:

1841135357 — KRISTY LEA WRIGHT
Practice Location Address:

3771 S A ST
RICHMOND, IN
47374-6053

Practice Phone: 765-598-4197
Practice Fax:

1528490372 — DR. BERNOLE VALDEZ BATENGA M.D.
Practice Location Address:

1100 REID PKWY , REID HOSPITAL & HEALTH CARE SERVICES
RICHMOND, IN
47374-1157

Practice Phone: 765-983-3492
Practice Fax: 765-983-7958

1265163141 — CYNTHIA ANNE BALAY RBT
Practice Location Address:

2000 WERNLE RD
RICHMOND, IN
47374-7015

Practice Phone: 317-813-4690
Practice Fax:

1467396564 — BETTY JO WORKMAN
Practice Location Address:

3771 S A ST
RICHMOND, IN
47374-6053

Practice Phone: 765-598-4197
Practice Fax:

Directions to “ MRS. TERESA L RIDER FNP-BC” 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.