Individual provider Active NPI

Jennifer Lauren Rickett, NP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1033669494
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21783 Issued in TN
Practice address
1734 Madison Ave
Memphis, TN 38104-6414
Phone
(901) 489-1878
NPI assigned
Oct 10, 2016
Last updated
Oct 10, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21783 TN Primary

Addresses

Primary practice location

1734 Madison Ave
Memphis, TN 38104-6414

Mailing address

1734 Madison Ave
Memphis, TN 38104-6414
Phone (901) 489-1878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210412000246 TN Practitioner - Nurse Practitioner 3971911058 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Ambulatory Care Inc. CurrentSince Jan 16, 2021 Accepting new patients
Vcphcs VIII, LLC CurrentSince Jan 7, 2021 Accepting new patients
Vcphcs Xxi, LLC CurrentSince Jan 7, 2021 Accepting new patients
Wellness Ambulatory Care Inc. Current Accepting new patients
Wellness Ambulatory Care Inc. CurrentSince Jan 16, 2021 Accepting new patients

Locations

412 Citico St
Knoxville, TN 37921
Phone (865) 522-0661

1734 Madison Ave
Memphis, TN 38104
Phone (901) 722-9420

2165 Spicer Cv
Ste 5
Memphis, TN 38134
Phone (901) 372-7878

4539 Winchester Rd
Ste 111
Memphis, TN 38118
Phone (901) 372-7878

5001 Spring Vly
Ste 600E
Dallas, TX 75244

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1033669494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 MADISON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046414",
            "telephone_number": "901-489-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 MADISON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046414",
            "telephone_number": "901-489-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKETT",
        "first_name": "JENNIFER",
        "middle_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.