Sophia Ricketts

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

270463-01 Issued in NY

Practice address

13802 Queens Blvd
Jamaica, NY 11435-2665

Phone

(718) 206-2000

NPI assigned

Apr 20, 2026

Last updated

Apr 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1776643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1063356947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18340 DUNLOP AVE",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114121512",
            "telephone_number": "718-206-2000",
            "fax_number": "718-487-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13802 QUEENS BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114352665",
            "telephone_number": "718-206-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKETTS",
        "first_name": "SOPHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-20",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "270463-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Richardson, LCSW
• Sybrina Tysia Richardson, LCSW
• Crystal Monique Richberg
• Joshua Rickard, PHARMD, BCPS, BCACP
• Charis-Ann Ricketts, O.D.
• John Frank Ricks, CASAC
• Cynthia Riddick
• Lawanda S Riddick, LMHC
• Lesley Ridley
• Christina Caroline Rients, L.AC

• Licensed Practical Nurse in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.