Stacy L Ricketts, M.S., CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

237496 Issued in AK

Practice address

4320 Diplomacy Dr
Anchorage, AK 99508-5925

Phone

(907) 729-3300

NPI assigned

Apr 2, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1437189339

  TX

  Medicare reassignment NPD
• Southcentral Foundation

  dba BSD - McGrath

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • McGrath, AK
  • NPI 1780614263

  TX

  Medicare reassignment NPD
• Southcentral Foundation

  dba Alaska Subspecialty Pediatric Network (ASPN)

  • Multi-Specialty Clinic/Center
  • Wasilla, AK
  • NPI 1457196685
  NPD
• Southcentral Foundation

  dba HPG- BNPCC Wellness Center (BNPCC Comp Med)

  • Chiropractor
  • Wasilla, AK
  • NPI 1750889234
  NPD
• Mobile Audiology Associates, P.C.

  dba HealthDrive Audiology Group

  • Audiologist
  • Framingham, MA
  • NPI 1689601130
  NPD
• Mobile Audiology Associates, PC

  dba HealthDrive Audiology Group

  • Audiologist
  • Indianapolis, IN
  • NPI 1316471659
  NPD

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1730352410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7033 E TUDOR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071262",
            "telephone_number": "907-729-6799",
            "fax_number": "907-729-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 DIPLOMACY DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085925",
            "telephone_number": "907-729-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 N Ritter Ave",
            "address_2": "STE 130",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462193052",
            "country_code": "US",
            "telephone_number": "317-355-1327",
            "fax_number": "317-355-1992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICKETTS",
        "first_name": "STACY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002261A",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AK",
            "license": "237496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Richey, LMT
• Mark Richey, M.D.
• Sherrie Dee Richey, M.D.
• Katherine Ann Richter, PHARMD
• Rick Abbott DC PC
• Zachary David Ricketts
• Emma Ricks, MS SLP CCC
• Camela Marie Riddell, OTR L
• Nicholas Ridenour, PHARMD
• Astride Rider

• Audiologist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Audiologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.