Jordan Rickards

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

201 Jordanville Rd
Aynor, SC 29511-3601

Phone

(843) 488-7109

NPI assigned

Oct 18, 2023

Last updated

May 27, 2025By 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 2

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": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1366224883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 CASTLE CT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295799802",
            "telephone_number": "540-834-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 JORDANVILLE RD",
            "city": "AYNOR",
            "state": "SC",
            "postal_code": "295113601",
            "telephone_number": "843-488-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKARDS",
        "first_name": "JORDAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fredricka Owens
• Pee Dee Smiles Aynor, PA
• Relatyv Mobile Medical LLC
• Joan Cribb Richardson I, R.PH.
• Shamra O Richardson, SLPA
• Kirk A Ridenour, LAT, ATC, NASM-CES
• Justin Kelly Roberts, PHARMD
• Selah Family Chiropractic, LLC
• Kimberly N Spivey, FNP-BC
• Jessica Roberson Strickland, NP-C

• Athletic Trainer in Aynor, SC
• Providers in Aynor, SC by specialty
• Athletic Trainer in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.