Bridgette Annmarie Smith-Ricketts

Primary specialty

SpecialistTaxonomy code 174400000X

License

$$$$$$$$$ Issued in NY

Practice address

11506 Rockaway Beach Blvd
Far Rockaway, NY 11694-2346

Phone

(917) 254-0973

NPI assigned

Jul 6, 2023

Last updated

Jul 6, 2023By the provider in NPPES

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

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1366120859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15014 115TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114341006",
            "telephone_number": "192-923-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11506 ROCKAWAY BEACH BLVD",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116942346",
            "telephone_number": "917-254-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-RICKETTS",
        "first_name": "BRIDGETTE",
        "middle_name": "ANNMARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "$$$$$$$$$",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Slepoy
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• Nicole Ericka Smith, RD, CDN
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• Specialist in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.