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

Katherine Riddle, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1336922244

Katherine Riddle, AGACNP-BC is a Nurse Practitioner in Southgate, Michigan. Graduated from University of Michigan Medical School in 2022, 4 years ago. Practices with W. A. Foote Memorial Hospital, Inc, a 478-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Trained at
University of Michigan Medical School
Licensed in
MI
In the registry since
2023

Practice location Address checks out

15750 Northline Rd
Southgate, MI 48195-2378
Phone: (734) 357-0505
Fax: (734) 357-0506
Show map & directions

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

Additional practice locations (2)

  • 205 N East Ave, Jackson, MI 49201-1753 — (517) 205-4800
  • 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 — (248) 898-5000

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704318916 (MI)

Record details

NPI number1336922244
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorYes
NPI enumeratedAugust 15, 2023
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2022 (4 years in practice)
Group practice W. A. Foote Memorial Hospital, Inc. — 478 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare