Heidi Ricks I

Primary specialty

MidwifeTaxonomy code 176B00000X

License

P78239 Issued in NY

Practice address

331 Ushers Rd Ste 7
Ballston Lake, NY 12019-1546

Phone

(518) 588-7122

Fax

(518) 565-0609

NPI assigned

Nov 21, 2010

Last updated

Sep 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Heartspace Midwifery, PLLC

  • Midwife
  • Ballston Lake, NY
  • NPI 1841008562
  NPD Authorized official

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

{
    "created_epoch": "1290297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1164724316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SAUNDERS LN",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120191929",
            "telephone_number": "518-588-7122",
            "fax_number": "518-244-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 USHERS RD STE 7",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120191546",
            "telephone_number": "518-588-7122",
            "fax_number": "518-565-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKS",
        "first_name": "HEIDI",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-21",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "P78239",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "VT",
            "license": "107.0051633",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Jo Premo, M.S. CCC SLP
• QC-Medi New York, Inc. (CenterWell Home Health)
• Quality Care Optician Services, PLLC
• Rachel Hargraves DDS PLLC
• Kristin W. Renauld, LMFT, MA
• Kimberly Ann Riggi, FNP
• Mark L Roschinsky, DMD
• Caitlin Ross
• Julia Kristine Rutherford, PA-C
• Megan Rae Ryan, PHARM.D

• Midwife in Ballston Lake, NY
• Providers in Ballston Lake, NY by specialty
• Midwife in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.