Individual provider Active NPI

Jessica Shea Ricchio, D.C.

  • Chiropractor
  • Sheridan, WY
National Provider Identifier
1861447716
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
684 Issued in WY
Practice address
2 N Main St
Suite 201
Sheridan, WY 82801-6318
Phone
(307) 674-6655
Fax
(307) 674-6699
NPI assigned
May 22, 2006
Last updated
Aug 26, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 684 WY Primary

Addresses

Primary practice location

2 N Main St
Suite 201
Sheridan, WY 82801-6318

Mailing address

2 N Main St
Suite 201
Sheridan, WY 82801-6318
Phone (307) 674-6655

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
684WYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Chiropractic Center Chiropractor PastSince Apr 30, 2003 Accepting new patients
Short Chiropractic Inc Chiropractor PastSince May 1, 1998 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1861447716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 N MAIN ST",
            "address_2": "SUITE 201",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016318",
            "telephone_number": "307-674-6655",
            "fax_number": "307-674-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 N MAIN ST",
            "address_2": "SUITE 201",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016318",
            "telephone_number": "307-674-6655",
            "fax_number": "307-674-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCHIO",
        "first_name": "JESSICA",
        "middle_name": "SHEA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.