Ricky P. Lockett, D.O, PA

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

RICKY P. LOCKETT, D.O, PA

Practice address

2822 W Virginia Ave
Tampa, FL 33607-6330

Phone

(727) 452-9526

NPI assigned

Dec 22, 2019

Organization subpart

Yes

Parent organization

RICKY P. LOCKETT, D.O, PAAs reported in NPPES

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

Authorized official

Name

Dr. Ricky P. Lockett, DONPI 1356410443

Title

Director

Phone

(727) 896-8686

Specialties & licenses 1

Addresses

Other names 1

• Wound Healing Innovation Center Doing business as

Part of

Ricky Lockett DO

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Ricky P. Lockett, D.O, PA

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • St Petersburg, FL
  • NPI 1023306206
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ricky P. Lockett, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Saint Petersburg, FL
  • NPI 1356410443
  NPD (past) Authorized official

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

{
    "created_epoch": "1576972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576972800000",
    "number": "1366081325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 5TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337052008",
            "telephone_number": "727-452-9526",
            "fax_number": "813-200-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2822 W VIRGINIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076330",
            "telephone_number": "727-452-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICKY P. LOCKETT, D.O, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RICKY P. LOCKETT, D.O, PA",
        "enumeration_date": "2019-12-22",
        "last_updated": "2019-12-22",
        "certification_date": "2019-12-22",
        "status": "A",
        "authorized_official_last_name": "LOCKETT",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "727-896-8686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wound Healing Innovation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cherith Rickels, APRN
• Dory Lynn Ricker, BA
• Cody Ellis Rickett
• Bridget Rickman, AU.D.
• Clayton L. Ricks, DMD
• Rico Lab Services
• Juan Felipe Rico, MD
• Nicole Carnevalla Riddell, M.D.
• Scott R. Riddell, MD
• Emma Rouse Riddle, PA-C

• Health Service Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2019; 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.