Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Jared Ridenour, PA
Physician Assistant in Tulsa, OK · enumerated 2019.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1619441177
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Registry record
Entity type Individual (Type 1)
Name Jared Ridenour
Credential PA
Sex Male
Practice address 6802 S Olympia Ave Ste 300, Tulsa, OK, 74132
Phone (918) 749-0762
Enumeration date Jan 17, 2019
Last updated in NPPES Jan 6, 2022
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 3021 (OK) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Where does Jared Ridenour practice?
The practice location on file with NPPES is in Tulsa, OK. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jared Ridenour?
The National Provider Identifier (NPI) for Jared Ridenour is 1619441177, a Type 1 (individual) record in the CMS NPPES registry.
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-01-06.