Mary Rickman, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN053459 Issued in AZ

Practice address

3805 E Bell Rd
Suite 3100
Phoenix, AZ 85032-2136

Phone

(602) 867-8644

Fax

(602) 795-5698

NPI assigned

Mar 7, 2006

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Cardiovascular Consultants LTD

  • Medical Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1023073525
  NPD (past)
• Cardiovascular Consultants LTD

  • Vascular & Interventional Radiology Physician
  • Peoria, AZ
  • NPI 1215509989
  NPD (past)

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1699742866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98819",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89193",
            "telephone_number": "602-494-3659",
            "fax_number": "602-494-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 E BELL RD",
            "address_2": "SUITE 3100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322136",
            "telephone_number": "602-867-8644",
            "fax_number": "602-795-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKMAN",
        "first_name": "MARY",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "RN053459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187394",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Alexander Rickards, DDS
• Glenn Bernard Ricker, LISAC
• Beverly Ricketts, PNP
• Mary Elizabeth Ricketts, LCSW
• Julie Rickman McCall, RDN, IBCLC
• Allison K Ricks, MS, CCC-SLP
• Jeanmarie Ricks, CRNP
• Youlanda Y Ricks
• Marie Rico
• Alyssa Ridao

• Adult Health Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Adult Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.