Active NPI
Christina Elaine Ricketts, MAT, ATC, LAT
- Athletic Trainer
- Belton, TX
National Provider Identifier
1831533637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT4779
- Practice address
- 900 College St
Belton, TX 76513-2599 - Phone
- (254) 652-1172
- NPI assigned
- Apr 23, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT4779 | TX | Primary |
Addresses
Primary practice location
900 College St
Belton, TX 76513-2599
Mailing address
900 College St
Belton, TX 76513-2599
Phone (254) 652-1172
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831533637 | Other | TX | ATHLETIC TRAINING |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cricketts@umhb.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT4779 | TX | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umhb | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Student Health Clinic/Center
- Belton, TX
- NPI 1285930743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586908800000",
"number": "1831533637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 COLLEGE ST",
"city": "BELTON",
"state": "TX",
"postal_code": "765132599",
"telephone_number": "254-652-1172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 COLLEGE ST",
"city": "BELTON",
"state": "TX",
"postal_code": "765132599",
"telephone_number": "254-652-1172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKETTS",
"first_name": "CHRISTINA",
"middle_name": "ELAINE",
"credential": "MAT, ATC, LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-23",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT4779",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATHLETIC TRAINING",
"identifier": "1831533637",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cricketts@umhb.edu",
"affiliation": "N",
"address_1": "900 College St",
"city": "Belton",
"state": "TX",
"country_code": "US",
"postal_code": "765132578",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Belton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.