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

Katherine Riddle

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669866588

Katherine Riddle is an Obstetrics/Gynecology in South Windsor, Connecticut. Graduated from Creighton University School of Medicine in 2015, 11 years ago. Practices with OBGYN Group of Eastern Connecticut PC, a 12-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
11
Trained at
Creighton University School of Medicine
Licensed in
CT
In the registry since
2015
Specialties on file
2

Practice location Address checks out

2600 Tamarack Ave Ste 200
South Windsor, CT 06074-5560
Phone: (860) 646-1157
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5301 McAuley Dr, Ypsilanti, MI 48197-1051 — (734) 712-3456

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 63724 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1669866588
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 28, 2015
Last updated in NPPESJanuary 22, 2020
Certification dateJanuary 22, 2020
Mailing address2600 Tamarack Ave Ste 200, South Windsor, CT 06074-5560

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Obgyn Group Of Eastern Connecticut Pc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in South Windsor