JASON A RICKERT (NPI# 1164662771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164662771 |
| Entity Type | Individual |
| Full Name | JASON A RICKERT |
| Credential | NP-C |
| Practice Address |
1414 Spring Meadows Dr Holland OH 43528-9478 |
| Mailing Address |
8 Cadillac Dr Suite 250 Brentwood TN 37027-5087 |
| Practice Telephone | 4194913220 |
| Practice Fax Number | 4194913221 |
| Mailing Telephone | 6154254200 |
| Mailing Fax Number | 6154254271 |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2009-02-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
337358 RN | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1414 SPRING MEADOWS DR |
| City | HOLLAND |
| State | OH |
| Zip Code | 43528-9478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144254947 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 1414 Spring Meadows Dr, Holland, OH 43528-9478 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542345 | Bobbi Stall | Technician | 1027 Raymil, Holland, OH 43528 | 2020-09-15 |
| 1336789049 | Diana Kobylak | Licensed Practical Nurse | Racing for Recovery, 6202 Trust Dr., Holland, OH 43528 | 2020-01-10 |
| 1982262291 | Raven Diane Hannah | Licensed Vocational Nurse | 350 South Irwin Rd, Holland, OH 43528 | 2019-06-01 |
| 1881163988 | Brandon Scott Smith | Counselor | 350 S Irwin Road, Holland, OH 43528 | 2018-11-19 |
| 1184199432 | Pamela Adrienne Wilson | Rehabilitation Counselor | 350 S. Irwin Road, Holland, OH 43528 | 2018-10-12 |
| 1023509460 | Shaunte Harris | Counselor | 350 S Irwin, Holland, OH 43528 | 2018-05-22 |
| 1982193314 | William Floyd Johnson | Counselor | 350 S. Irwin, Holland, OH 43528 | 2018-05-01 |
| 1174025100 | Samantha Hoelzer | Optometrist | 1460 Spring Meadows Drive, E100, Holland, OH 43528 | 2018-03-06 |
| 1780186262 | Vicki Gottfried | Community/Behavioral Health | 7015 Spring Meadows West Drive Suite 102, Holland, OH 43528 | 2018-03-01 |
| 1922519859 | Shaunta Marie Grier | Licensed Practical Nurse | 350 S Irwin Street, Holland, OH 43528 | 2017-10-18 |
| Find all providers in zip 43528 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988432 | Caitlin Schwark | Nurse Practitioner | 3705 Northpointe Dr Apt 21, Holland, MI 49424-7796 | 2020-10-05 |
| 1851903272 | Theresa Tan | Nurse Practitioner | 647 Northridge Dr, Holland, MI 49423-9213 | 2020-08-18 |
| 1215578380 | Jennifer Olivier | Nurse Practitioner | 9161 Rolling Hill Rd, Holland, OH 43528-9204 | 2019-09-30 |
| 1750842167 | Perry Davis Babcock | Nurse Practitioner | 12330 James St Ste H10, Holland, MI 49424-9575 | 2019-03-28 |
| 1528534716 | Jennifer Boven | Nurse Practitioner | 577 Michigan Ave Ste 201, Holland, MI 49423-4911 | 2018-10-16 |
| 1487183067 | Keith Lamar Stroder | Nurse Practitioner | 6855 Spring Valley Dr Ste 150, Holland, OH 43528-7012 | 2017-06-07 |
| 1497107452 | Angela Kay Beil | Nurse Practitioner | 7059 Orchard Centre Drive, Holland, OH 43528 | 2016-07-01 |
| 1467706382 | Eileen Kelly Greco | Nurse Practitioner | 136 Karen Rd, Holland, PA 18966-2443 | 2012-10-30 |
| 1255655510 | Jill Lynn Federer | Nurse Practitioner | 1650 Eber Rd Ste E, Holland, OH 43528-9793 | 2010-03-16 |
| 1487658308 | Lisa Gaye Gill | Nurse Practitioner | 6711 Airport Hwy, Holland, OH 43528-8104 | 2005-06-09 |
| Find all providers in HOLLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.