KELLI J RICKETT (NPI# 1033757703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033757703 |
| Entity Type | Individual |
| Full Name | KELLI J RICKETT |
| Credential | FNP-C |
| Practice Address |
543 S Taft Hill Rd Fort Collins CO 80521-3238 |
| Practice Telephone | 9708171011 |
| Mailing Telephone | 9708171011 |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN.0995041-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
543 S TAFT HILL RD |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80521-3238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386172799 | Seth Lundberg Cowden | Dentist | 1015 S Taft Hill Rd Ste K, Fort Collins, CO 80521 | 2017-05-30 |
| 1184174773 | Alison Butler | Counselor | 320 W. Olive St, Fort Collins, CO 80521 | 2016-10-07 |
| 1134675986 | Above and Beyond Therapy, LLC | Occupational Therapist | 305 W Magnolia St. Pmb #175, Fort Collins, CO 80521 | 2016-08-31 |
| 1053763722 | Jessie Charbonneau | Counselor | 123 Aylesworth Hall, Csuhn Counseling Center, Fort Collins, CO 80521 | 2016-07-06 |
| 1215308861 | Brittany Koehler | Specialist/Technologist | 3002 W. Elizabeth 24f, Fort Collins, CO 80521 | 2015-10-08 |
| 1932538972 | Jessica Miller | Social Worker | 123 Ayleswort Hall Nw, Fort Collins, CO 80521 | 2013-11-08 |
| 1255690715 | Simon Peter Ferraro Dove | Chiropractor | 1302 South Shields, #a1-3, Fort Collins, CO 80521 | 2012-05-03 |
| 1194903153 | Island Grove Regional Treatment Center | Substance Abuse Rehabilitation Facility | 212 W Mountain Avenue, Ft Collins, CO 80521 | 2008-02-01 |
| 1356535975 | Wendy Brumley Lee | Community Based Residential Treatment Facility, Mental Illness | 1644 S. College Avenue, Ft. Collins, CO 80521 | 2007-08-28 |
| 1184833832 | James J Reid LLC | Social Worker | 1220 University Ave, Ft Collins, CO 80521 | 2007-05-21 |
| Find all providers in zip 80521 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376140004 | Laurie Matson | Nurse Practitioner | 2945 Spring Harvest Ln, Fort Collins, CO 80528-3074 | 2020-10-06 |
| 1598378846 | Lauren Abigail Dieterman | Nurse Practitioner | 6208 Fall Harvest Way, Fort Collins, CO 80528-7242 | 2020-08-26 |
| 1699385773 | Carl Everett White | Nurse Practitioner | 1101 Oakridge Dr Unit B, Fort Collins, CO 80525-5536 | 2020-08-04 |
| 1790303873 | Angela Axmann Grabinger | Nurse Practitioner | 617 W Myrtle St, Fort Collins, CO 80521-3633 | 2020-07-06 |
| 1750917431 | Regina Thompson Loveley | Nurse Practitioner | 1951 Mackinac St, Fort Collins, CO 80524-3680 | 2020-03-13 |
| 1730714056 | Alba Cristina Riley | Nurse Practitioner | 627 Parker St, Fort Collins, CO 80525-1025 | 2020-03-06 |
| 1619500667 | Melissa Lynn Klos | Nurse Practitioner | 927 Saddlebrook Ln, Fort Collins, CO 80525-6966 | 2020-02-18 |
| 1851921050 | Robbie Jill Fendley | Nurse Practitioner | 2121 E Harmony Rd Unit 310, Fort Collins, CO 80528-3403 | 2020-01-16 |
| 1689158057 | Rachel Ann Mclean | Nurse Practitioner | 6709 Autumn Ridge Dr Unit 1, Fort Collins, CO 80525-6996 | 2018-09-20 |
| 1275049470 | Kimberly Lindeken | Nurse Practitioner | 2121 E Harmony Rd Unit 160, Fort Collins, CO 80528-3413 | 2017-12-26 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80521 |
Please comment or provide details below to improve the information on KELLI J RICKETT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.