ANDREA ELAINE RICKETTS (NPI# 1275972978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275972978 |
| Entity Type | Individual |
| Full Name | ANDREA ELAINE RICKETTS |
| Credential | NP |
| Practice Address |
2000 Riverside Pkwy Ste 107 Lawrenceville GA 30043-5926 |
| Practice Telephone | 4044052321 |
| Practice Fax Number | 6786230904 |
| Mailing Telephone | 4044052321 |
| Mailing Fax Number | 7706989775 |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2019-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
119715 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2000 RIVERSIDE PKWY STE 107 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043-5926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609081801 | Jaami Lynn Mcclellan Rutledge | Registered Nurse | 2000 Riverside Pkwy Ste 107, Lawrenceville, GA 30043-5926 | 2007-05-11 |
| 1356983928 | Brittany Walker | Nurse Practitioner | 2000 Riverside Pkwy Ste 107, Lawrenceville, GA 30043-5926 | 2019-10-15 |
| 1760975619 | Joann Melinda Brown | Nurse Practitioner | 2000 Riverside Pkwy Ste 107, Lawrenceville, GA 30043-5926 | 2018-06-14 |
| 1942791108 | Susan Allison Pellettieri | Social Worker | 2000 Riverside Pkwy Ste 107, Lawrenceville, GA 30043-5926 | 2018-05-23 |
| 1649772872 | Keryn Johnson Benasuly | Social Worker | 2000 Riverside Pkwy Ste 107, Lawrenceville, GA 30043-5926 | 2018-03-04 |
| 1689182784 | Kristin Leigh Bennett | Nurse Practitioner | 2000 Riverside Pkwy Ste 107, Lawrenceville, GA 30043-5926 | 2018-01-11 |
| 1013431766 | Maafia A Osei-cheremeh | Nurse Practitioner | 2000 Riverside Pkwy Ste 107, Lawrenceville, GA 30043-5926 | 2017-08-02 |
| 1235669045 | Sb Healthcare, LLC | Internal Medicine | 2000 Riverside Pkwy Ste 107, Lawrenceville, GA 30043-5926 | 2017-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| Find all providers in zip 30043 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496781 | Yanfang Xiao | Nurse Practitioner | 70 Rivershyre Cir, Lawrenceville, GA 30043-6436 | 2020-10-29 |
| 1114533346 | Esi F Yeboah | Nurse Practitioner | 2599 Irwell Way, Lawrenceville, GA 30044-2141 | 2020-09-22 |
| 1205442647 | Chibuogwu Ifeoma Onyegbule | Nurse Practitioner | 2508 Planters Cove Dr, Lawrenceville, GA 30044-4491 | 2020-09-21 |
| 1760097323 | Adelaide Asher | Nurse Practitioner | 250 Chandler Pond Dr, Lawrenceville, GA 30043-6079 | 2020-09-10 |
| 1669082335 | Dahlia Josephine Dobson | Nurse Practitioner | 25 Featherbed Ct, Lawrenceville, NJ 08648-2004 | 2020-08-06 |
| 1912517129 | Virginiah Kariuki | Nurse Practitioner | 990 Melrose Park Pl, Lawrenceville, GA 30044-7589 | 2020-08-03 |
| 1750990875 | Brittney Comfort Afram | Nurse Practitioner | 436 Cabot Trce, Lawrenceville, GA 30045-7848 | 2020-07-24 |
| 1487273843 | Maria A Chuma-okere | Nurse Practitioner | 1171 Thorncliff Way, Lawrenceville, GA 30044-8140 | 2020-04-15 |
| 1063031706 | Josephine Fatmata Belmoh | Nurse Practitioner | 2035 Bentbrooke Trl, Lawrenceville, GA 30043-2672 | 2020-04-13 |
| 1275162109 | Regina Raynor | Nurse Practitioner | 2359 Strand Ave, Lawrenceville, GA 30043-8204 | 2020-04-03 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
Please comment or provide details below to improve the information on ANDREA ELAINE RICKETTS.
| 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.