Individual provider Active NPI

John F Rickards, RD, LDN

  • Registered Dietitian
  • Bala Cynwyd, PA
National Provider Identifier
1609167543
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN004512 Issued in PA
Practice address
601 Righters Ferry Rd
Bala Cynwyd, PA 19004-1305
Phone
(610) 664-6464
NPI assigned
Apr 26, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN004512 PA Primary

Addresses

Primary practice location

601 Righters Ferry Rd
Bala Cynwyd, PA 19004-1305

Mailing address

3600 Grant Ave
Philadelphia, PA 19114-2630
Phone (215) 677-0400

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
DN004512PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Progress Physical Therapy LLC PastSince Jun 6, 2022 Accepting new patients
Corporate Wellness Nutrition LLC Dietitian, Registered Past Accepting new patients
Your Wellness Consultants LLC Dietitian, Registered Past Accepting new patients
Aquahab, LP Past Accepting new patients
Your Wellness Consultants Dietitian, Registered Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1609167543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 GRANT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142630",
            "telephone_number": "215-677-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 RIGHTERS FERRY RD",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041305",
            "telephone_number": "610-664-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKARDS",
        "first_name": "JOHN",
        "middle_name": "F",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-26",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN004512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.