Annette Rickolt, APRN

Primary specialty

Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X

License

LW-0000122 Issued in DE

Practice address

350 Noxontown Rd
Middletown, DE 19709-1621

Phone

(302) 285-4200

NPI assigned

Dec 22, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513900800000",
    "number": "1013423342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NOXONTOWN RD",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091621",
            "telephone_number": "302-285-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NOXONTOWN RD",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091621",
            "telephone_number": "302-285-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKOLT",
        "first_name": "ANNETTE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-22",
        "last_updated": "2017-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "DE",
            "license": "LW-0000122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rheumatology and Fibromyalgia Center of Excellence
• Rheumatology and Fibromyalgia Center of Excellence
• Brittany A Rhoads, FNP
• Javonne Rich, LCSW
• Rachel Kristine Richards, PTA
• Rite Aid of Delaware Inc
• Hellen Bosibori Robinson
• Janel Robinson
• Raymond Mark Robinson, ATC, CSCS, MED
• Elizabeth Rollo-Guiney, PT, DPT

• Pediatric Clinical Nurse Specialist in Middletown, DE
• Providers in Middletown, DE by specialty
• Pediatric Clinical Nurse Specialist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.