Randall C. Rickard, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

13277 Issued in TN

Practice address

515 E Bell St
Murfreesboro, TN 37130-3001

Phone

(615) 890-9191

Fax

(615) 890-2200

NPI assigned

Jul 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: randall.rickard.1@18883.direct.athenahealth.com

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619906856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E BELL ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371303001",
            "telephone_number": "615-890-9191",
            "fax_number": "615-890-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E BELL ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371303001",
            "telephone_number": "615-890-9191",
            "fax_number": "615-890-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKARD",
        "first_name": "RANDALL",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "13277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "3059248",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "13277",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Averi Rae Richey
• Bradley Richins, RN, BSN
• Richland Creek Dental Group, PLLC
• Debora Yvonne Richmond, CRNA
• Jessie Danielle Richmond, APRN
• Rachel Marie Ricketts
• Kathryn Riddle, PH.D.
• Michele Ann Ridings, NP-C
• Michael Carl Rieben
• Brian Francis Riel, D.D.S.

• Family Medicine Physician in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Family Medicine Physician in Tennessee

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.