Individual provider Active NPI

Nikia Delores Ritchie, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Maxton, NC
National Provider Identifier
1114485505
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024177 Issued in VA
Practice address
610 E Dr Martin Luther King Jr Dr
Maxton, NC 28364-1800
Phone
(910) 844-5253
Fax
(910) 844-3290
NPI assigned
Mar 5, 2019
Last updated
Sep 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024177 VA Primary

Addresses

Primary practice location

610 E Dr Martin Luther King Jr Dr
Maxton, NC 28364-1800

Mailing address

60 Commerce Plaza Cir
Pembroke, NC 28372-7386
Phone (910) 521-2900

Other identifiers 2

IdentifierTypeStateIssuer
1114485505OtherNCBCBSNC
1114485505MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20190617000221 NC Practitioner - Nurse Practitioner 9234462714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robeson Health Care CorporationGroup PAC ID 1850290693, 24 clinicians

Practice addresses (Care Compare)

610 E Dr Martin Luther King Jr Dr
Maxton, NC 28364-1800
Phone (910) 844-5253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024177VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robeson Health Care Corporation CurrentSince Jul 6, 2020 Accepting new patients
Robeson Health Care Corporation CurrentSince Jul 6, 2020 Accepting new patients
Robeson Health Care Corporation Current Accepting new patients

Locations

507 Lauchwood Dr
Laurinburg, NC 28352
Phone (910) 506-4682

800 Martin Luther King Jr Dr
Lumberton, NC 28358
Phone (910) 370-0815

610 E Dr Mlk Jr Dr
Maxton, NC 28364
Phone (910) 844-5253

60 Commerce Plaza Cir
Pembroke, NC 28372
Phone (910) 521-2900

Interoperability endpoints

  • Direct secure messaging: nikia.ritchie@direct.robesonhealthcarecorporation.nchie.net
  • Direct secure messaging: nritchie852403@direct.unc.nchie.net

Organizations & group practices 3

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": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1114485505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 COMMERCE PLAZA CIR",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727386",
            "telephone_number": "910-521-2900",
            "fax_number": "910-775-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E DR MARTIN LUTHER KING JR DR",
            "city": "MAXTON",
            "state": "NC",
            "postal_code": "283641800",
            "telephone_number": "910-844-5253",
            "fax_number": "910-844-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITCHIE",
        "first_name": "NIKIA",
        "middle_name": "DELORES",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "1114485505",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114485505",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maxton, NC

Sources for this page

Verify at the official NPI Registry.