Alli N Rickels, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

22376 Issued in TN

Practice address

221 N Main St
Greeneville, TN 37745-3815

Phone

(423) 787-6050

Fax

(423) 787-6054

NPI assigned

Mar 23, 2017

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

Other identifiers 1

Other names 1

• Alli N Rose Former name

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Holston Medical Group PC

  • Family Medicine Physician
  • Kingsport, TN
  • NPI 1831110667

  Nurse Practitioner

  Medicare reassignment NPD

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1396276267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15004",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379015004",
            "telephone_number": "865-541-8895",
            "fax_number": "865-633-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N MAIN ST",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377453815",
            "telephone_number": "423-787-6050",
            "fax_number": "423-787-6054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Bristol West Blvd Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376208773",
            "country_code": "US",
            "telephone_number": "423-968-2599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 W Stone Dr Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603365",
            "country_code": "US",
            "telephone_number": "423-230-2430",
            "fax_number": "423-378-5940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICKELS",
        "first_name": "ALLI",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "22376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q027647",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLI",
            "last_name": "ROSE",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wendy Wendy Rice Hensley, LMSW, LAPSW
• Amber Dyer Rice, PTA
• Stephanie Nicole Rice, PHARM.D.
• Alisha Richards, NP
• Jordan Kyle Richardson
• Frederick K Ricker, DDS
• Hannah Rebecca Ricker, NA
• Lisa Dawn Ricker, PTA
• Nicole R Riddle, MA
• Hannah Ridley, BA

• Pediatric Nurse Practitioner in Greeneville, TN
• Providers in Greeneville, TN by specialty
• Pediatric Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.