Tina Marie Rickard
Individual provider Active NPI Home Health Aide · Falling Waters, WV
NPI 1073402160 · NPPES record last updated Jul 2, 2025
Key facts
- NPI
- 1073402160
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 514 Burnside Dr
Falling Waters, WV 25419-4122 - Phone
- (304) 240-6626
- NPI assigned
- Jul 2, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
514 Burnside Dr
Falling Waters, WV 25419-4122
Mailing address
514 Burnside Dr
Falling Waters, WV 25419-4122
Other providers in Falling Waters, WV
- Justin Price
- Michelle Raley
- Anthony William Reed
- Mikel William Reid
- Lindsay Rhodes
- Miranda Ridgway
- Andrea Robinson
- Jamie Michele Schartman
- Charles Shantz
- Madison B Shepherd
All providers in Falling Waters, WV · Home Health Aide in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.