Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blythe Riddle, PA-C

Individual provider Physician Assistant · NPI 1194547554

Blythe Riddle, PA-C is a Physician Assistant in Austin, Texas. Qualified in 2024, 2 years ago. Practices with Victory Wound Care, a 5-clinician group. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

14205 N Mo Pac Expy Ste 570
Austin, TX 78728-6529
Phone: (512) 217-3799
Fax: (469) 312-2506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 18440 (TX)

Record details

NPI number1194547554
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 28, 2024
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Victory Wound Care — 5 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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