MS. FAITH S. RICKERT (NPI# 1851420756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851420756 |
| Entity Type | Individual |
| Full Name | MS. FAITH S. RICKERT |
| Credential | OT |
| Practice Address |
1705 Viola St. Mandeville LA 70448 |
| Mailing Address |
208 Chestnut St Mandeville LA 70471-3004 |
| Practice Telephone | 9856741998 |
| Practice Fax Number | 9856749799 |
| Mailing Telephone | 9856741998 |
| Mailing Fax Number | 9856749799 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | OTT.Z10221 | LA | Other Service Providers |
| Street Address |
1705 VIOLA ST. |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 70448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962035964 | Tyler Trenton Wansley | Nurse Practitioner | 23515 Us-190, Mandeville, LA 70448 | 2020-02-18 |
| 1346712957 | Start Corporation | Clinic/Center | 23251 South Robin Road, Mandeville, LA 70448 | 2018-12-20 |
| 1952870362 | Oh Project-lafayette | Community/Behavioral Health | 23515 Us 190, Northlake Academy Building, Mandeville, LA 70448 | 2018-11-14 |
| 1083113187 | Amanda Stokes Barker | Occupational Therapist | 1903 University Dr, Mandeville, LA 70448 | 2018-02-05 |
| 1629594544 | Ochsner Clinic LLC | Internal Medicine | 3235 E Causeway Approach, Mandeville, LA 70448 | 2017-08-22 |
| 1831628288 | Katherine Lea Gristina | Speech-Language Pathologist | 307 Copal Street, Mandeville, LA 70448 | 2017-06-08 |
| 1154779551 | Jonathan Ferguson | Specialist/Technologist | 26301 La-1088, Mandeville, LA 70448 | 2016-05-26 |
| 1568821874 | Raymond Wallace IIi | Licensed Vocational Nurse | 23861 South Robin Rd, Mandeville, LA 70448 | 2016-02-15 |
| 1548629140 | Martha Miller | Clinical Nurse Specialist | 400 Mariner's Blvd, Mandeville, LA 70448 | 2016-02-11 |
| 1023483435 | Tina Marie Catalano | Licensed Practical Nurse | 23861 South Robin Road, Mandeville, LA 70448 | 2015-12-10 |
| Find all providers in zip 70448 | ||||
| Taxonomy Code | 170100000X |
| Grouping | Other Service Providers |
| Classification | Medical Genetics, Ph.D. Medical Genetics |
| A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
| Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992072953 | Acceptance Kidmed of La LLC | Medical Genetics, Ph.D. Medical Genetics | 947 N Bon Marche Dr, 107, Baton Rouge, LA 70806-8833 | 2011-11-18 |
| 1417289711 | Acceptance Community Care Clinic, LLC | Medical Genetics, Ph.D. Medical Genetics | 15142 Mary Elizabeth Dr, Baton Rouge, LA 70816-9043 | 2010-02-11 |
| 1669633541 | Evangeline Rachel Hall Franklin | Medical Genetics, Ph.D. Medical Genetics | 5640 Read Blvd Ste 540, New Orleans, LA 70127-7811 | 2008-06-23 |
| 1003978545 | Amite Physical Therapy | Medical Genetics, Ph.D. Medical Genetics | 216 N 2nd St, Amite, LA 70422-2408 | 2006-12-14 |
| 1578517066 | Acceptance Physical Medicine & Rehabilitation Clinic, LLC | Medical Genetics, Ph.D. Medical Genetics | 2156 Wooddale Blvd, Suite 140, Baton Rouge, LA 70806-1403 | 2006-05-20 |
| 1295714624 | Johnetta Renee Hall | Medical Genetics, Ph.D. Medical Genetics | 915 Ann St, New Iberia, LA 70560-5676 | 2006-01-13 |
| 1013387620 | Mary Catherine Phelan Iv | Medical Genetics, Ph.D. Medical Genetics | 1430 Tulane Ave, Sl31, New Orleans, LA 70112-2632 | 2015-09-25 |
| 1982981320 | Accent Urgent Care Clinic LLC | Medical Genetics, Ph.D. Medical Genetics | 1821 Wooddale Ct, Suite 203, Baton Rouge, LA 70806-1535 | 2011-11-14 |
| 1245463710 | Acceptance Kidmed of Louisiana LLC | Medical Genetics, Ph.D. Medical Genetics | 2708 Wooddale Blvd, Suite A2, Baton Rouge, LA 70805-7541 | 2009-08-31 |
| 1962644641 | Acceptance Physical Medicine & Rehab Clinic, LLC | Medical Genetics, Ph.D. Medical Genetics | 2708 Wooddale Blvd, Suite A2, Baton Rouge, LA 70805-7541 | 2009-03-27 |
| Find all providers with the same taxonomy | ||||
| City | MANDEVILLE |
| Zip Code | 70448 |
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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.