JACOB ROBERT RICKOLL (NPI# 1225665417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225665417 |
| Entity Type | Individual |
| Full Name | JACOB ROBERT RICKOLL |
| Credential | NP |
| Practice Address |
1631 Elysian Fields Ave New Orleans LA 70117-8208 |
| Mailing Address |
2301 Conti St New Orleans LA 70119-5707 |
| Practice Telephone | 5048212601 |
| Mailing Telephone | 5044736943 |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
214020 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
214020 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1631 ELYSIAN FIELDS AVE |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70117-8208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144223108 | Richard M. Carr | General Practice | 1631 Elysian Fields Ave, New Orleans, LA 70117-8208 | 2005-05-24 |
| 1770103202 | Elizabeth Pinson | Social Worker | 1631 Elysian Fields Ave, New Orleans, LA 70117-8208 | 2020-04-24 |
| 1053966861 | Cody Smith | Social Worker | 1631 Elysian Fields Ave, New Orleans, LA 70117-8208 | 2019-08-08 |
| 1205392065 | Michael M Rudis | Case Manager/Care Coordinator | 1631 Elysian Fields Ave, New Orleans, LA 70117-8208 | 2019-02-18 |
| 1942779574 | Nora Joan Winsryg-karasik | Social Worker | 1631 Elysian Fields Ave, New Orleans, LA 70117-8208 | 2018-11-13 |
| 1861976292 | Melanie Mcclellan | Case Manager/Care Coordinator | 1631 Elysian Fields Ave, New Orleans, LA 70117-8208 | 2018-09-21 |
| 1548744097 | Neil Hilton | Social Worker | 1631 Elysian Fields Ave, New Orleans, LA 70117-8208 | 2018-09-20 |
| 1043793029 | Avita Drugs, LLC | Pharmacy | 1631 Elysian Fields Ave, Suite 200, New Orleans, LA 70117 | 2018-09-14 |
| 1215417563 | No/aids Task Force | Clinic/Center | 1631 Elysian Fields Ave, New Orleans, LA 70117-8208 | 2018-08-16 |
| 1578008058 | Christopher Lacefield | Counselor | 1631 Elysian Fields Ave, New Orleans, LA 70117-8208 | 2016-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972130995 | Cyntrell Emma Patterson | Non-emergency Medical Transport (VAN) | 1247 Tennessee Street, New Orleans, LA 70117 | 2020-03-27 |
| 1558996496 | Martha S Cortez | Counselor | 1631 Elysian Fields, New Orleans, LA 70117 | 2020-03-11 |
| 1295204683 | Dora Hewitt | Home Health | 2001 Pauline St, N, New Orleans, LA 70117 | 2018-11-15 |
| 1285125484 | Nathaniel Roche | Counselor | 1800 Lamanche St., New Orleans, LA 70117 | 2018-05-23 |
| 1922528231 | Lenneria T Franklin | Counselor | 3028 Gentilly Blvd., New Orleans, LA 70117 | 2017-06-27 |
| 1770028425 | Marcus Jackson | Counselor | 2313 Almonaster Ave, New Orleans, LA 70117 | 2017-01-04 |
| 1174067243 | Jada Daniels | Case Manager/Care Coordinator | 1008 Forstall St, New Orleans, LA 70117 | 2016-12-08 |
| 1518413319 | Gwendolyn Craft | Counselor | 1719 Lamanche St, New Orleans, LA 70117 | 2016-08-31 |
| 1275975856 | Lean On Us, LLC | Community/Behavioral Health | 5500 St. Claude Avenue, New Orleans, LA 70117 | 2013-07-23 |
| 1982988283 | Kipp New Orleans Inc | Local Education Agency (LEA) | 3200 St. Claude Avenue, Kipp Leadership Academy, New Orleans, LA 70117 | 2011-10-05 |
| Find all providers in zip 70117 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780228312 | Sharel Randolph Williams | Nurse Practitioner | 614 Harmony St, New Orleans, LA 70115-1108 | 2019-11-06 |
| 1437626728 | Alpha Health Services | Nurse Practitioner | 44 Harbour Town Ct, New Orleans, LA 70131-3342 | 2018-10-25 |
| 1609254630 | Mia Schexnayder Davis | Nurse Practitioner | 8801 Lake Forest Blvd, New Orleans, LA 70127-2448 | 2015-05-11 |
| 1114536703 | Robin R Fouquet | Nurse Practitioner | 1936 Magazine St, New Orleans, LA 70130-5016 | 2020-07-29 |
| 1760010755 | Abby Walker | Nurse Practitioner | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2020-03-27 |
| 1700346558 | Olga Michelle Martinez | Nurse Practitioner | 13085 Chef Menteur Hwy, New Orleans, LA 70129-1804 | 2019-03-20 |
| 1780160606 | Mikshira Marie Mosely | Nurse Practitioner | 3218 Saint Claude Ave, New Orleans, LA 70117-6659 | 2018-07-13 |
| 1649787227 | Alle Duvall | Nurse Practitioner | 4100 Canal St, New Orleans, LA 70119-5941 | 2018-01-04 |
| 1518485614 | Amanda Lynn Hill | Nurse Practitioner | 4429 Clara St Ste 400, New Orleans, LA 70115-6949 | 2017-09-08 |
| 1992258172 | Cara Mills | Nurse Practitioner | 1936 Magazine St, New Orleans, LA 70130-5016 | 2016-07-25 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70117 |
Please comment or provide details below to improve the information on JACOB ROBERT RICKOLL.
| 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.