Individual provider Active NPI

Kristi Lynne Ricker, RN-BC, CARN

  • Psychiatric/Mental Health Registered Nurse
  • Bangor, ME
National Provider Identifier
1487959599
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
RN58098 Issued in ME
Practice address
157 Park St Ste 5
Bangor, ME 04401-5000
Phone
(207) 992-0411
NPI assigned
Jan 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R058098 ME
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X RN58098 ME
Psychiatric/Mental Health Registered Nurse 163WP0808X RN58098 ME Primary

Addresses

Primary practice location

157 Park St Ste 5
Bangor, ME 04401-5000

Mailing address

157 Park St Ste 5
Bangor, ME 04401-5000
Phone (207) 992-0411

Other practice location 1

453 US Route 1
Kittery, ME 03904-5513
Phone (207) 282-1500

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R058098MEMDRegistered Nurse
RN58098MEMDAddiction (Substance Use Disorder) Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1487959599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 PARK ST STE 5",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015000",
            "telephone_number": "207-992-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 PARK ST STE 5",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015000",
            "telephone_number": "207-992-0411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "453 US Route 1",
            "address_purpose": "LOCATION",
            "city": "Kittery",
            "state": "ME",
            "postal_code": "039045513",
            "country_code": "US",
            "telephone_number": "207-282-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICKER",
        "first_name": "KRISTI",
        "middle_name": "LYNNE",
        "credential": "RN-BC, CARN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-20",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "R058098",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "RN58098",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "ME",
            "license": "RN58098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.