NPIMap

Organization Active NPI

Charles E Rickard Jr FNP PC

Doing business as The Rickard Clinic

  • Rural Health Clinic/Center
  • Henderson, TN
National Provider Identifier
1861446858
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
44-3960 Issued in TN
Legal business name
CHARLES E RICKARD JR FNP PC
Doing business as
The Rickard Clinic
Practice address
557 W Park PL
Henderson, TN 38340-2027
Phone
(731) 989-1007
Fax
(731) 989-0704
NPI assigned
May 22, 2006
Last updated
May 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Authorized official

Name
Mr. Charles E Rickard Jr., FNP,MSN,APN,BCNPI 1700865847
Title
Owner
Phone
(731) 989-1007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 44-3960 TN Primary

Addresses

Primary practice location

557 W Park PL
Henderson, TN 38340-2027

Mailing address

557 W Park PL
Henderson, TN 38340-2027
Phone (731) 989-1007

Other names 1

  • The Rickard Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1861446858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 W PARK PL",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383402027",
            "telephone_number": "731-989-1007",
            "fax_number": "731-989-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 W PARK PL",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383402027",
            "telephone_number": "731-989-1007",
            "fax_number": "731-989-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E RICKARD JR FNP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "RICKARD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-989-1007",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "FNP,MSN,APN,BC"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TN",
            "license": "44-3960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Rickard Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.