Individual provider Active NPI

Sameka Ricks

  • General Practice Registered Nurse
  • Rosedale, MD
National Provider Identifier
1720676729
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
R223887 Issued in MD
Practice address
20 Paula PL Apt 302
Rosedale, MD 21237-4585
Phone
(410) 599-5581
NPI assigned
Jan 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X R223887 MD Primary

Addresses

Primary practice location

20 Paula PL Apt 302
Rosedale, MD 21237-4585

Mailing address

20 Paula PL Apt 302
Rosedale, MD 21237-4585
Phone (410) 599-5581

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Mccallsameka1@gmail.com

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R223887MDMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1720676729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PAULA PL APT 302",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374585",
            "telephone_number": "410-599-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PAULA PL APT 302",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374585",
            "telephone_number": "410-599-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKS",
        "first_name": "SAMEKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MD",
            "license": "R223887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Mccallsameka1@gmail.com",
            "affiliation": "N",
            "address_1": "20 Paula Pl Apt 302",
            "city": "Rosedale",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212374585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.