Charlie Rick

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

884139 Issued in LA

Practice address

70117 Highway 59 Ste J
Abita Springs, LA 70420-3177

Phone

(985) 634-7281

NPI assigned

Jan 28, 2026

Last updated

Jan 28, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1769558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1831049105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70117 HIGHWAY 59 STE J",
            "city": "ABITA SPRINGS",
            "state": "LA",
            "postal_code": "704203177",
            "telephone_number": "985-634-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70117 HIGHWAY 59 STE J",
            "city": "ABITA SPRINGS",
            "state": "LA",
            "postal_code": "704203177",
            "telephone_number": "985-634-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICK",
        "first_name": "CHARLIE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-28",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "LA",
            "license": "884139",
            "primary": false
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "LA",
            "license": "884139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Nutrition Consulting LLC
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• Tina M Richardson, CMA
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• Shannon Elizabeth Roussell
• William Bryan Sadler, PLPC
• SNG - Abita Square Dialysis Center LP
• Patricia Stout, LCSW

• Home Modifications Contractor in Abita Springs, LA
• Providers in Abita Springs, LA by specialty
• Home Modifications Contractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.