Brian Anthony Rickert, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2004004573 Issued in MO

Practice address

5307 Daggett Ave
Saint Louis, MO 63110-3027

Phone

(314) 922-0445

NPI assigned

Oct 16, 2008

Sex

Male

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1285886689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5307 DAGGETT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631103027",
            "telephone_number": "314-922-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5307 DAGGETT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631103027",
            "telephone_number": "314-922-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKERT",
        "first_name": "BRIAN",
        "middle_name": "ANTHONY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2004004573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Rickard, M.D.
• Theresa T. Rickelman, D.O.
• Ansley Beth Ricker, MD
• Eric R Ricker, OD
• Hailee Ann Ricker, MSAT, LAT, ATC
• Jared Rickert, D.O.
• Jennie Lyn Rickert, ACNP
• Kelsey Amanda Ricketts, LCSW, MSW
• Tammy Jean Ricketts, LICSW
• Michael Lawrence Rickher, FNP

• Registered Nurse in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.