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

Mrs. Tricia A Riddle, FNP-BC

Individual provider Nurse Practitioner · NPI 1013660794

Mrs. Tricia A Riddle, FNP-BC is a Nurse Practitioner in Pembroke Pines, Florida. Qualified in 2021, 5 years ago. Practices with Conviva Medical Center Management, LLC, a 562-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida, Pennsylvania, South Carolina and Texas.

Years since qualifying
5
Licensed in
FL, PA, SC, TX
In the registry since
2022
Specialties on file
4
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

880 SW 145th Ave Ste 202
Pembroke Pines, FL 33027-6171
Phone: (866) 849-0692
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 514 Se Port St Lucie Blvd, Port St Lucie, FL 34984-5108 — (772) 871-5900

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11017304 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 1212806 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence 31432 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence SP034908 (PA)

Record details

NPI number1013660794
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedFebruary 1, 2022
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Conviva Medical Center Management, Llc — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Pembroke Pines