Individual provider Active NPI

Matthew L Rickett, D.O.M.

  • Acupuncturist
  • Navarre, FL
National Provider Identifier
1427252840
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP2386 Issued in FL
Practice address
1796 Navarre by the Sound Cir
Navarre, FL 32566-5103
Phone
(850) 936-8664
NPI assigned
Jun 11, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP2386 FL Primary

Addresses

Primary practice location

1796 Navarre by the Sound Cir
Navarre, FL 32566-5103

Mailing address

1152 Eula St
Gulf Breeze, FL 32563-3108
Phone (850) 934-4194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP2386FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua D Pickett DC PA Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427252840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 EULA ST",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325633108",
            "telephone_number": "850-934-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1796 NAVARRE BY THE SOUND CIR",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325665103",
            "telephone_number": "850-936-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKETT",
        "first_name": "MATTHEW",
        "middle_name": "L",
        "credential": "D.O.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Navarre, FL

Sources for this page

  • 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.