Individual provider Active NPI

Valerie Jean Ricker, RD

  • Registered Dietitian
  • Harlem, MT
National Provider Identifier
1174531701
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
347 Issued in MT
Practice address
669 Agency Main St
Fort Belknap Service Unit
Harlem, MT 59526-9455
Phone
(406) 353-3130
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 347 MT Primary

Addresses

Primary practice location

669 Agency Main St
Fort Belknap Service Unit
Harlem, MT 59526-9455

Mailing address

656 Agency Main St
Fort Belknap Indian Community
Harlem, MT 59526-9455
Phone (406) 353-3130

Other identifiers 2

IdentifierTypeStateIssuer
347OtherMTLICENSE NUMBER
1174531701MedicaidMT

Other names 1

  • Mrs. Valerie Jean Pratt Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
347MTMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1174531701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 AGENCY MAIN ST",
            "address_2": "FORT BELKNAP INDIAN COMMUNITY",
            "city": "HARLEM",
            "state": "MT",
            "postal_code": "595269455",
            "telephone_number": "406-353-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 AGENCY MAIN ST",
            "address_2": "FORT BELKNAP SERVICE UNIT",
            "city": "HARLEM",
            "state": "MT",
            "postal_code": "595269455",
            "telephone_number": "406-353-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKER",
        "first_name": "VALERIE",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MT",
            "license": "347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "347",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174531701",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "PRATT",
            "middle_name": "JEAN",
            "prefix": "MRS.",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harlem, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.