Mallory Danielle Ricketts, CNM, WHNP-BC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

CNM09441 Issued in AL

Practice address

320 Pelham Ave SW Ste 301
Huntsville, AL 35801-5051

Phone

(256) 759-9629

NPI assigned

Jul 3, 2024

Last updated

Jul 3, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15832/brand/1/csg/1/fhir/r4
• Direct secure messaging: mallory.ricketts.1@15832.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Women4Women OBGYN, LLC

  • Obstetrics & Gynecology Physician
  • Huntsville, AL
  • NPI 1902338163
  NPD

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1780420208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3827 JESSICA LN",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352435307",
            "telephone_number": "205-451-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PELHAM AVE SW STE 301",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015051",
            "telephone_number": "256-759-9629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Governors Drive SW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "35801",
            "country_code": "US",
            "telephone_number": "256-265-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICKETTS",
        "first_name": "MALLORY",
        "middle_name": "DANIELLE",
        "credential": "CNM, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "CNM09441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Alexander Richardson, CRNP
• Richard P Richardson, MD
• Travis Dale Richardson, RCS
• Whitney Richardson, M.S., CCC-SLP
• Rick's Pharmacy, Inc.
• Melissa Pirofsky Ricketts, CRNP
• Thomas Albert Ricks IV, MD
• Michael Lloyd Ridner, M.D.
• John R Riehl, DMD
• Amanda Riendeau, LICSW-S

• Obstetrics & Gynecology Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Obstetrics & Gynecology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.