Individual provider Active NPI

Sheri Rickman Patrick, NP

  • Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1578548806
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP7926 Issued in CA
Practice address
4617 Freeport Blvd
Suite B
Sacramento, CA 95822-2015
Phone
(916) 422-7273
Fax
(916) 422-2127
NPI assigned
Dec 9, 2005
Last updated
Jul 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP7926 CA Primary

Addresses

Primary practice location

4617 Freeport Blvd
Suite B
Sacramento, CA 95822-2015

Mailing address

4617 Freeport Blvd
Suite B
Sacramento, CA 95822-2015
Phone (916) 422-7273

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7926CAMDOccupational Therapist
NP7926CAMDNurse Practitioner
NPCAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Land Park Pediatric Medical Group Past Accepting new patients
Pediatric Medical Associates of Sacramento Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: spatrick63449@hisp.ehr.sutterhealth.org

Organizations & group practices 2

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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1578548806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4617 FREEPORT BLVD",
            "address_2": "SUITE B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958222015",
            "telephone_number": "916-422-7273",
            "fax_number": "916-422-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4617 FREEPORT BLVD",
            "address_2": "SUITE B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958222015",
            "telephone_number": "916-422-7273",
            "fax_number": "916-422-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKMAN PATRICK",
        "first_name": "SHERI",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP7926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.