TERRI LYNN RICKERSON (NPI# 1326575788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326575788 |
| Entity Type | Individual |
| Full Name | TERRI LYNN RICKERSON |
| Credential | MSN RN, AGPCNP-BC |
| Practice Address |
350 S 40th St Muskogee OK 74401-4915 |
| Practice Telephone | (918) 683-0753 |
| Practice Fax Number | 9186835677 |
| Mailing Telephone | (918) 683-0753 |
| Mailing Fax Number | 9186835677 |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2017-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
95206 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
708296 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
350 S 40TH ST |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401-4915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225015027 | Roger Alan Nevling | Physician Assistant | 350 S 40th St, Muskogee, OK 74401-4915 | 2005-12-22 |
| 1003446451 | Ifeoma Nneka Mozie | Nurse Practitioner | 350 S 40th St, Muskogee, OK 74401-4915 | 2020-01-23 |
| 1326678186 | Nelly Njaramba | Clinical Nurse Specialist | 350 S 40th St, Muskogee, OK 74401-4915 | 2020-01-21 |
| 1710525019 | Mercy Ifeoma Ugwu | Nurse Practitioner | 350 S 40th St, Muskogee, OK 74401-4915 | 2019-12-17 |
| 1760020606 | Tess Visitacion De Jesus | Nurse Practitioner | 350 S 40th St, Muskogee, OK 74401-4915 | 2019-12-10 |
| 1386291037 | Marlo Annette Barnes-davis | Nurse Practitioner | 350 S 40th St, Muskogee, OK 74401-4915 | 2019-08-19 |
| 1114490968 | Robert Lee Jones Jr. | Nurse Practitioner | 350 S 40th St, Muskogee, OK 74401-4915 | 2019-01-04 |
| 1366914434 | Jennifer Lynn Adoh | Nurse Practitioner | 350 S 40th St, Muskogee, OK 74401-4915 | 2018-12-29 |
| 1295248581 | Shellye Simmons | Registered Nurse | 350 S 40th St, Muskogee, OK 74401-4915 | 2017-11-09 |
| 1275088254 | Shelly Carlton | Nurse Practitioner | 350 S 40th St, Muskogee, OK 74401-4915 | 2016-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| Find all providers in zip 74401 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558358655 | Brenda Elder | Nurse Practitioner | 1001 So. 41st St. East, Muskogee, OK 74403-1404 | 2005-10-04 |
| 1861968364 | Lisa Gay Woodworth | Nurse Practitioner | 1001 S 41st St E, Muskogee, OK 74403-6253 | 2018-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492618 | Jessica Kearney | Nurse Practitioner | 8116 Nw 161st Ter, Edmond, OK 73013-5510 | 2020-09-17 |
| 1346852191 | Oludari Olutokunbo Olajide | Nurse Practitioner | 10700 N Council Rd Apt 3, Oklahoma City, OK 73162-4366 | 2020-08-21 |
| 1124638192 | Amanda Rushing | Nurse Practitioner | 705 E Atlanta Ave, Davis, OK 73030-2982 | 2020-08-05 |
| 1104435999 | Julie Marie Kelly | Nurse Practitioner | 1615 S Eucalyptus Ave Ste 210, Broken Arrow, OK 74012-5993 | 2020-07-28 |
| 1750999413 | Staci Y Williams | Nurse Practitioner | 5606 Sw Lee Blvd Ste 203, Lawton, OK 73505-9651 | 2020-07-20 |
| 1063030088 | Kristal Ladawn Vasquez | Nurse Practitioner | 4019 North Flood Ave, Normam, OK 73069 | 2020-07-07 |
| 1144847542 | Premier Healthcare, Aprn-cnp | Nurse Practitioner | 12208 South Western Avenue, Suite B, Oklahoma City, OK 73170 | 2020-07-01 |
| 1578184560 | Heather Elaine Fry | Nurse Practitioner | 1908 E Gore Blvd Ste A, Lawton, OK 73501-6129 | 2020-04-30 |
| 1972137511 | Danielle Nicole Hurd | Nurse Practitioner | 1532 N Boston Pl, Tulsa, OK 74106-4104 | 2020-02-22 |
| 1427689215 | Bodyworx Primary Care, LLC | Nurse Practitioner | 4019 N Flood Ave, Norman, OK 73069 | 2020-01-30 |
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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.