Active NPI
Shirley Gail Ricks
- Private Vehicle
- Newport News, VA
National Provider Identifier
1568278653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- Practice address
- 11817 Canon Blvd
Newport News, VA 23606-2569 - Phone
- (757) 817-6979
- NPI assigned
- Dec 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | VA | Primary |
Addresses
Primary practice location
11817 Canon Blvd
Newport News, VA 23606-2569
Mailing address
371 Lees Mill Dr
Newport News, VA 23608-5029
Phone (757) 817-6979
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733616000000",
"number": "1568278653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "371 LEES MILL DR",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236085029",
"telephone_number": "757-817-6979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11817 CANON BLVD",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236062569",
"telephone_number": "757-817-6979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKS",
"first_name": "SHIRLEY",
"middle_name": "GAIL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-04",
"last_updated": "2024-12-08",
"certification_date": "2024-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.