Active NPI
Camita Ricks
- Driver
- Gonzales, LA
National Provider Identifier
1073137329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 7711873
- Practice address
- 8544 S Saint Landry Ave Lot 60
Gonzales, LA 70737-8053 - Phone
- (225) 936-5677
- NPI assigned
- Jun 2, 2020
- Last updated
- Jun 2, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 7711873 | LA | Primary |
Addresses
Primary practice location
8544 S Saint Landry Ave Lot 60
Gonzales, LA 70737-8053
Mailing address
8544 S Saint Landry Ave Lot 60
Gonzales, LA 70737-8053
Phone (225) 936-5677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7711873 | LA | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591056000000",
"number": "1073137329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8544 S SAINT LANDRY AVE LOT 60",
"city": "GONZALES",
"state": "LA",
"postal_code": "707378053",
"telephone_number": "225-936-5677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8544 S SAINT LANDRY AVE LOT 60",
"city": "GONZALES",
"state": "LA",
"postal_code": "707378053",
"telephone_number": "225-936-5677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKS",
"first_name": "CAMITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-02",
"last_updated": "2020-06-02",
"certification_date": "2020-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "LA",
"license": "7711873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gonzales, LA
- Revive Again Support Coordination Services LLC
- Revive Again Therapeutic Services
- Revive Physical Therapy, LLC
- Trevor C. Richard, MD
- Nora Shipp Richardson-Foote, D.D.S.
- Ryan D Rife, LCSW
- Kelanda Quezelda Riley, BS, MSW, RSW
- Rise 'N'Shine Counseling Agency
- Rita's Transportation Service LLC
- River Parish Physical Therapy and Wellness LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.