Rebecca Mahan Ricchi, NURSE PRACTITTIONER

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN1228792 Issued in FL

Practice address

4161 Carmichael Avenue Ste 150
Jacksonville, FL 32207-4301

Phone

(904) 829-8954

NPI assigned

Apr 8, 2011

Last updated

Dec 12, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Rebecca Mahan Barthle Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• In Your Dreams International Inc

  dba Emerald Coast Sleep Disorders Center

  • Sleep Disorder Diagnostic Clinic/Center
  • Niceville, FL
  • NPI 1477587145
  NPD (past)

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1891085114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 CARMICHAEL AVENUE SUITE 150",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32207",
            "telephone_number": "904-829-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 CARMICHAEL AVENUE STE 150",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074301",
            "telephone_number": "904-829-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCHI",
        "first_name": "REBECCA",
        "middle_name": "MAHAN",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITTIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-08",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "RN1228792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "BARTHLE",
            "middle_name": "MAHAN",
            "prefix": "MS.",
            "credential": "NURSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bruno Renan Ribeiro Gomes Linard, MD
• Heber De Lima Ribeiro, MD
• Ricardo Budjak MD PA
• Ricardo F Izurieta MD PA
• Emily Ricardo, PT, DPT
• Azmia Ricchuito Abusoad, MSW/LCSW
• Tessa M Ricci, MD
• Dina Leah Ricco, LMHC
• Sonya Leigh Rice Thompson, M.D.
• David Allbritton Rice, M.D.

• Adult Health Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.