DR. DENISE RICKETTS (NPI# 1215163175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215163175 |
| Entity Type | Individual |
| Full Name | DR. DENISE RICKETTS |
| Other Name | DENISE RICKETTS |
| Credential | M.D. |
| Practice Address |
1801 Se Hillmoor Dr Ste B-109 Port Saint Lucie FL 34952-7550 |
| Mailing Address |
1713 Hwy 441 North Ste C Okeechobee FL 34972 |
| Practice Telephone | 7723379473 |
| Mailing Telephone | 8634672159 |
| Mailing Fax Number | 8637630681 |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2019-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME 114478 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1301 N Lawnwood Cir, Fort Pierce, FL 349504825 | 7724611191 | |
| 1713 Hwy 441 North, Ste C, Okeechobee, FL 34972 | 8634672159 | 8637630681 |
| Street Address |
1801 SE HILLMOOR DR STE B-109 |
| City | PORT SAINT LUCIE |
| State | FL |
| Zip Code | 34952-7550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215587068 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Psl, 1680 Se Lyngate Drive, Port St Lucie, FL 34952 | 2019-09-13 |
| 1255998274 | Morningside Alf | Assisted Living Facility | 2233 Se Mroningside Alf, Port Saint Lucie, FL 34952 | 2019-05-24 |
| 1336611870 | Med Braces and Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1484 Se Village Green Dr, Port St Lucie, FL 34952 | 2018-12-21 |
| 1689143794 | The Gift of Recovery, LLC | Counselor | 1801 Sw Hillmoor Drive, Suite C-101, Port St. Lucie, FL 34952 | 2018-11-19 |
| 1457830853 | Cathy L Sonier | Counselor | 357 Brazilian Circle, Port St Lucie, FL 34952 | 2018-08-07 |
| 1548756661 | Blo 7 Diabetes Institute Inc | Nutritionist | 1700 Sw Hillmoor Dr., Suite 305, Port St. Lucie, FL 34952 | 2018-07-02 |
| 1780194464 | Doctor's Choice Medical Center | Clinic/Center | 9164 S Us Highway 1, Port St Lucie, FL 34952 | 2017-10-06 |
| 1801305644 | Thandiwe Daley | Behavior Technician | 1935 Se Hillmoor Drive, Apt#159, Port St Lucie, FL 34952 | 2017-09-25 |
| 1700309408 | Lagrand Evan Andrews | Assistant Behavior Analyst | 265 Se Lenard Rd. Apartment 307, Port St. Lucie, FL 34952 | 2017-07-25 |
| 1578085148 | Lavetta S Ivey | Behavior Technician | 7190 Us Federal Hwy 1, Port Saint Lucie, FL 34952 | 2017-07-14 |
| Find all providers in zip 34952 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962025445 | Laurier Junior Paul | Family Medicine | 864 Nw Leonardo Cir, Port Saint Lucie, FL 34986-4352 | 2020-05-19 |
| 1649818287 | Ahmad Care LLC | Family Medicine | 1914 Se Niceville Dr, Port Saint Lucie, FL 34952-8041 | 2019-12-13 |
| 1861058745 | Andrea Claire Muggli | Family Medicine | 647 Sw Long Key Ct, Port Saint Lucie, FL 34986-2032 | 2019-05-15 |
| 1851729693 | Inner Balance Family Medicine, LLC | Family Medicine | 1880 Se Port Saint Lucie Blvd, Port Saint Lucie, FL 34952-5545 | 2013-10-14 |
| 1124461124 | Patrick Leung | Family Medicine | 290 Nw Peacock Blvd #880891, Port Saint Lucie, FL 34986 | 2013-04-10 |
| 1215299862 | Jessica Collins Mccain | Family Medicine | 540 Nw University Blvd Ste 202, Port Saint Lucie, FL 34986 | 2012-06-11 |
| 1235438011 | Milena Osorio-smith | Family Medicine | 1430swsaint Lucie West Blvd 101, Port Saint Lucie, FL 34986-2134 | 2011-03-20 |
| 1992968853 | Sandra H Bolanos | Family Medicine | 1730 Sw Saint Lucie West Blvd, Port Saint Lucie, FL 34986-2504 | 2008-07-09 |
| 1063549434 | Bambi Petrinic | Family Medicine | 513 Nw Lake Whitney Pl, Port Saint Lucie, FL 34986-1618 | 2007-02-27 |
| 1396820668 | Anthony Peter Nicosia | Family Medicine | 1502 Se Holiday Rd, Port Saint Lucie, FL 34952-5416 | 2006-10-26 |
| Find all providers in PORT SAINT LUCIE | ||||
| City | PORT SAINT LUCIE |
| Zip Code | 34952 |
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| 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.