Gwendolyn Carlene Rickett, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

RN0000083027 Issued in TN

Practice address

2202 Martin Luther King Jr Ave
Knoxville, TN 37915-1510

Phone

(865) 215-5470

Fax

(865) 215-5009

NPI assigned

Feb 2, 2007

Last updated

Jul 8, 2007By 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 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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316085483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6408 OLD MAYNARDVILLE PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379185132",
            "telephone_number": "865-687-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 MARTIN LUTHER KING JR AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379151510",
            "telephone_number": "865-215-5470",
            "fax_number": "865-215-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKETT",
        "first_name": "GWENDOLYN",
        "middle_name": "CARLENE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "TN",
            "license": "RN0000083027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Elizabeth Ricker, MD
• Cody Weston Ricker, APRN, FNP-C
• Kim Rickerson
• Aaryn Rickert
• Jeffrey Alan Rickert, DO
• Leigh Ann Ricketts, DC
• Charles Christian Rickey, PA-C
• Briana Ricks
• Clinton Ricks
• Kari Riddell, LCSW

• Community Health Registered Nurse in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Community Health Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.