Individual provider Active NPI

Diana Ricketts, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1821843285
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1112434 Issued in TX
Practice address
1601 E Lamar Blvd Ste 214
Arlington, TX 76011-4464
Phone
(469) 463-6202
Fax
(682) 316-9194
NPI assigned
Apr 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1112434 TX Primary

Addresses

Primary practice location

1601 E Lamar Blvd Ste 214
Arlington, TX 76011-4464

Mailing address

1601 E Lamar Blvd Ste 214
Arlington, TX 76011-4464
Phone (469) 463-6202

Other practice location 1

3370 S Texas Ave
Bryan, TX 77802-3127
Phone (979) 595-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250127001019 TX Practitioner - Nurse Practitioner 1557890100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brazos Valley Community Action Agency IncGroup PAC ID 4284542127, 41 clinicians
Andrews County Hospital DistrictGroup PAC ID 6002724945, shared by 9 NPIs, 11 clinicians

Practice addresses (Care Compare)

1103 Woodson Dr
Caldwell, TX 77836-1052
Phone (979) 567-7080

1411 N Main St
Andrews, TX 79714-3696

3370 S Texas Ave
Bryan, TX 77802-3127
Phone (979) 595-1700

712 S May St
Madisonville, TX 77864-2564
Phone (936) 348-3418

8310 Hwy 6 Loop
Navasota, TX 77868-3248
Phone (936) 825-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1112434TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Panorama Care Home LLC CurrentSince Apr 1, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1821843285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E LAMAR BLVD STE 214",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760114464",
            "telephone_number": "469-463-6202",
            "fax_number": "682-316-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E LAMAR BLVD STE 214",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760114464",
            "telephone_number": "469-463-6202",
            "fax_number": "682-316-9194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3370 S Texas Ave",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "TX",
            "postal_code": "778023127",
            "country_code": "US",
            "telephone_number": "979-595-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICKETTS",
        "first_name": "DIANA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-19",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1112434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.