Individual provider Active NPI

Nancy Lynne Rick, RN, BA

  • Registered Nurse
  • Coon Rapids, MN
National Provider Identifier
1124325196
Registry record updated Feb 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R 99186-3 Issued in MN
Practice address
11800 Eldorado St NW
Apt. 302
Coon Rapids, MN 55433-2401
Phone
(612) 600-2219
NPI assigned
Feb 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R 99186-3 MN Primary

Addresses

Primary practice location

11800 Eldorado St NW
Apt. 302
Coon Rapids, MN 55433-2401

Mailing address

11800 Eldorado St NW
Apt. 302
Coon Rapids, MN 55433-2401
Phone (612) 600-2219

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
Credentials
Bachelor of Arts, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R 99186-3MNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1298764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298764800000",
    "number": "1124325196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 ELDORADO ST NW",
            "address_2": "APT. 302",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332401",
            "telephone_number": "612-600-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 ELDORADO ST NW",
            "address_2": "APT. 302",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332401",
            "telephone_number": "612-600-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICK",
        "first_name": "NANCY",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "RN, BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-27",
        "last_updated": "2011-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R 99186-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2011; 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.