Lola Ann Rickey, C.C.C.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL00004251 Issued in WA

Practice address

1380 West 5TH Street
Newport, WA 99156-0070

Phone

(509) 447-3167

Fax

(509) 447-2553

NPI assigned

Oct 15, 2012

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

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.

• Newport School District

  • Local Education Agency (LEA)
  • Newport, WA
  • NPI 1336173624
  NPD (past)

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1780936773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 WEST 5TH STREET",
            "address_2": "P.O BOX 70",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991560070",
            "telephone_number": "509-447-3167",
            "fax_number": "509-447-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 WEST 5TH STREET",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991560070",
            "telephone_number": "509-447-3167",
            "fax_number": "509-447-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKEY",
        "first_name": "LOLA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "C.C.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-15",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00004251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Reeves
• James Reilley
• Aaron Reinke, MD
• Eric Lloyd Renk, PA-C
• Rescriptz Incorporated
• Crystal Marie Riddle-Anderson, NA-C, P-TA, SUD, CPC
• Shelah Riggins
• Karla Rivera, PA-C
• Roam PT PLLC
• Lois A. Robertson, LMT

• Speech-Language Pathologist in Newport, WA
• Providers in Newport, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.