Sandra Arline Rickman, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

54012 Issued in NM

Practice address

Bastogne Extension
Fort Liberty, NC 28310-5044

Phone

(910) 907-2575

NPI assigned

Oct 4, 2018

Sex

Female

Sole proprietor

Yes

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

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Otero County Hospital Association

  • General Acute Care Hospital
  • Alamogordo, NM
  • NPI 1861450579
  Medicare reassignment NPD
• Otero County Hospital Association

  • Community/Retail Pharmacy
  • Alamogordo, NM
  • NPI 1235948803
  NPD
• Alamogordo Physical Therapy & Wellness Center, Inc

  • Physical Therapist
  • Alamogordo, NM
  • NPI 1043225493
  NPD (past)
• Otero County Medical Group

  • Family Medicine Physician
  • Alamogordo, NM
  • NPI 1932535127
  NPD (past)

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1699240721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3126 STONECLIFF",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883103917",
            "telephone_number": "575-491-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BASTOGNE EXTENSION",
            "city": "FORT LIBERTY",
            "state": "NC",
            "postal_code": "283105044",
            "telephone_number": "910-907-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKMAN",
        "first_name": "SANDRA",
        "middle_name": "ARLINE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "54012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNP",
            "identifier": "CNP-54012",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlotte Marie Reasor, PHYSICAL THERAPIST
• Monica Regan
• Erik Francis Reifenstahl, DMD
• Sharon Eileen Reynolds, AUD
• Mary Richardson, RN
• Deon Travell Ridgell, PA
• Jessica Rim
• Janelle Lynn Robertson, M.D.
• Edwin B Robins, MD
• Forrest Blake Robinson, PT, DPT

• Family Nurse Practitioner in Fort Liberty, NC
• Providers in Fort Liberty, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.