Caitlyn Ricks

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

74000328A Issued in IN

Practice address

4199 Gateway Blvd Ste 3100
Newburgh, IN 47630-7906

Phone

(812) 842-4550

Fax

(812) 842-4549

NPI assigned

Jun 5, 2020

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1669096533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4199 GATEWAY BLVD STE 3100",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476307906",
            "telephone_number": "812-842-4550",
            "fax_number": "812-842-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4199 GATEWAY BLVD STE 3100",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476307906",
            "telephone_number": "812-842-4550",
            "fax_number": "812-842-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKS",
        "first_name": "CAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "IN",
            "license": "74000328A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN STATE GC LICENSE",
            "identifier": "74000328A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fuli Richie, FNP-BC
• Brittany Michelle Rickelman, PA-C
• Jenna M Rickenbaugh, NP
• Aniesa Ricketts
• Heather R Ricketts, M.D.
• Gary D Riddle, M.D.
• Josie Rideout
• Brian KZ Rider, RN
• Daryle Shawn Riegle, MD
• Brianna Lee Rininger, NP

• Genetic Counselor (M.S.) in Newburgh, IN
• Providers in Newburgh, IN by specialty
• Genetic Counselor (M.S.) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.

Verify at the official NPI Registry.