Heather Dawn Rickaway, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA04624 Issued in TX

Practice address

54 Flag Lake PLZ
Lake Jackson, TX 77566-6263

Phone

(979) 297-0362

Fax

(979) 297-9096

NPI assigned

Aug 12, 2006

Last updated

Jul 21, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: hrickaway458162@direct.stlukeshealth.org

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.

• Bottenfield Pediatric Associates, PLLC

  • Pediatrics Physician
  • Lake Jackson, TX
  • NPI 1710540513
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1649282237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 FLAG LAKE PLAZA",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "77566",
            "telephone_number": "979-297-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 FLAG LAKE PLZ",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775666263",
            "telephone_number": "979-297-0362",
            "fax_number": "979-297-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKAWAY",
        "first_name": "HEATHER",
        "middle_name": "DAWN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA04624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harvey Resnick, M.D.
• Revered Texan Hearth & Home, LLC
• Rhapsody Emergency Physicians, PPLC
• Dustin Rhodes
• Kara L Rice
• Robert G. Haws, O.D. P.a.
• Robert P. Thompson Jr. MD PA
• Wilmer Burton Roberts, MD, PH.D.
• Lucia Rodriguez Pachuca, LPC
• Melissa Rodriguez

• Medical Physician Assistant in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.