Sandra Patricia Rickenbacker, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

396265-1 Issued in NY

Practice address

83 Maiden LN
New York, NY 10038-4812

Phone

(212) 780-2708

Fax

(212) 777-3918

NPI assigned

Mar 18, 2009

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1245471317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1443 E 108TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364673",
            "telephone_number": "718-251-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 MAIDEN LN",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384812",
            "telephone_number": "212-780-2708",
            "fax_number": "212-777-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKENBACKER",
        "first_name": "SANDRA",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "396265-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy L Rick, MSW
• Lionel Glenn Rick, PHARM D
• Matthew Rickard
• Robin Ellen Rickard, LMT
• Chloe Elyse Ricke
• Edd C Ricker, MD, PHD
• Joseph Howard Ricker, PH.D.
• Scott Rickert, MD
• Clive Ricketts II, PA
• Tonya Ricketts

• Registered Nurse in New York, NY
• Providers in New York, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.