Rico De'Andre Isom

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

115600605

Practice address

1359 Linden Ave Apt 2
Memphis, TN 38104-3646

Phone

(813) 926-5454

NPI assigned

Sep 11, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1789084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1972413813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1359 LINDEN AVE APT 2",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 LINDEN AVE APT 2",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043646",
            "telephone_number": "813-926-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISOM",
        "first_name": "RICO",
        "middle_name": "DE'ANDRE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-11",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "115600605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Kashif Ismail, MD
• Angela Shade Isom, RN
• Johnathan Milton Isom, MD, MBA
• Lisa Isom
• Martina Hurt Isom, MS
• Cynthia L Issaac-Wooten
• Nazih Isseh, MD
• Norman I Itkowitz, PSY.D.
• Jeffrey Yohei Ito, MD
• Jamaica Raffeal Ivery-Glover

• Behavior Technician in Memphis, TN
• Providers in Memphis, TN by specialty
• Behavior Technician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.