Active NPI
Wendy J Rickerd, FNP-BC
- Family Nurse Practitioner
- Akron, OH
National Provider Identifier
1659746550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.17435
- Practice address
- 3333 Massillon Rd
Ste 102
Akron, OH 44312-5982 - Phone
- (330) 926-3235
- Fax
- (330) 255-5084
- NPI assigned
- Dec 3, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN.252149-1 | OH | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.17435 | OH | Primary |
Addresses
Primary practice location
3333 Massillon Rd
Ste 102
Akron, OH 44312-5982
Mailing address
3333 Massillon Rd
Ste 102
Akron, OH 44312-5982
Phone (855) 925-4733
Other practice location 1
1993 State Route 59
Kent, OH 44240
Phone (330) 673-1016
Other practice location 2
805 N Court St
Medina, OH 44256-1718
Phone (855) 925-4733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0155965 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN.252149-1 | OH | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595289600000",
"number": "1659746550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 MASSILLON RD",
"address_2": "STE 102",
"city": "AKRON",
"state": "OH",
"postal_code": "443125982",
"telephone_number": "855-925-4733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 MASSILLON RD",
"address_2": "STE 102",
"city": "AKRON",
"state": "OH",
"postal_code": "443125982",
"telephone_number": "330-926-3235",
"fax_number": "330-255-5084"
}
],
"practiceLocations": [
{
"address_1": "1993 State Route 59",
"address_purpose": "LOCATION",
"city": "Kent",
"state": "OH",
"postal_code": "44240",
"country_code": "US",
"telephone_number": "330-673-1016",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "805 N Court St",
"address_purpose": "LOCATION",
"city": "Medina",
"state": "OH",
"postal_code": "442561718",
"country_code": "US",
"telephone_number": "855-925-4733",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICKERD",
"first_name": "WENDY",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-03",
"last_updated": "2020-07-21",
"certification_date": "2020-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "RN.252149-1",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.17435",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0155965",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.