Mary Jane Rickard, RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

RN45107 Issued in HI

Practice address

480 Central Ave
Naval Health Clinic
Pearl Harbor, HI 96860-4908

Phone

(808) 257-5041

Fax

(808) 257-5653

NPI assigned

Sep 29, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1235126863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1079 MAKAHAIAKU ST",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967073006",
            "telephone_number": "808-257-5041",
            "fax_number": "808-257-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 CENTRAL AVE",
            "address_2": "NAVAL HEALTH CLINIC",
            "city": "PEARL HARBOR",
            "state": "HI",
            "postal_code": "968604908",
            "telephone_number": "808-257-5041",
            "fax_number": "808-257-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKARD",
        "first_name": "MARY",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "HI",
            "license": "RN45107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ravi Reddy, MD
• John Thomas Renn
• David Terrance Repking, IDC
• Joanne Chua Reyes, RN
• Tony Lee Richards, DPT
• Laura Rivera, LVN
• Michael J. Rodriguez, SUBMARINE IDC
• Angela M Roldan-Whitaker, D.D.S.
• Mark Romano, DMD
• John Robert Rotruck, MD

• Ambulatory Care Registered Nurse in Pearl Harbor, HI
• Providers in Pearl Harbor, HI by specialty
• Ambulatory Care Registered Nurse in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.