Active NPI
Andrew M Ricks, RN, BSN
- Student in an Organized Health Care Education/Training Program
- Hammond, LA
National Provider Identifier
1154138170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 15790 Paul Vega MD Dr
Hammond, LA 70403-1436 - Phone
- (985) 230-2198
- Fax
- (985) 230-2159
- NPI assigned
- Dec 12, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | LA | Primary | |
| Certified Registered Nurse Anesthetist | 367500000X | 205658 | LA | |
| Neuroscience Registered Nurse | 163WN0800X | 205658 | LA |
Addresses
Primary practice location
15790 Paul Vega MD Dr
Hammond, LA 70403-1436
Mailing address
356 Lions St
Jefferson, LA 70121-3504
Phone (504) 615-6939
Other practice location 1
1900 Gravier St
New Orleans, LA 70112-2262
Phone (504) 615-6939
Other practice location 2
356 Lions St
Jefferson, LA 70121-3504
Phone (504) 615-6939
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205658 | Other | LA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2026
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Oaks Medical Center LLC
Practice addresses (Care Compare)
15790 Paul Vega MD Dr
Hammond, LA 70403-1434
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205658 | LA | MD | Neuroscience Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1154138170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "356 LIONS ST",
"city": "JEFFERSON",
"state": "LA",
"postal_code": "701213504",
"telephone_number": "504-615-6939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15790 PAUL VEGA MD DR",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704031436",
"telephone_number": "985-230-2198",
"fax_number": "985-230-2159"
}
],
"practiceLocations": [
{
"address_1": "1900 Gravier St",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701122262",
"country_code": "US",
"telephone_number": "504-615-6939",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "356 Lions St",
"address_purpose": "LOCATION",
"city": "Jefferson",
"state": "LA",
"postal_code": "701213504",
"country_code": "US",
"telephone_number": "504-615-6939",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICKS",
"first_name": "ANDREW",
"middle_name": "M",
"credential": "RN, BSN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-12",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "LA",
"license": null,
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "205658",
"primary": false
},
{
"code": "163WN0800X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neuroscience",
"state": "LA",
"license": "205658",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "205658",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.