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

Gloria Nicole Rider

Individual provider Case Manager/Care Coordinator · NPI 1700199296

Gloria Nicole Rider is a Clinical Psychologist in Minneapolis, Minnesota. Graduated from Howard University College of Medicine in 2016, 10 years ago. Practices with Fairview Express Care, a 1,964-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
10
Trained at
Howard University College of Medicine
Licensed in
MN
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

1300 S 2nd St Ste 180
Minneapolis, MN 55454-5000
Phone: (612) 625-1562
Fax: (612) 626-8311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 — (503) 238-0769

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP6267 (MN)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1700199296
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 26, 2010
Last updated in NPPESJuly 2, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolHOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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