MRS. STEPHANIE RICKS (NPI# 1710221676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710221676 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE RICKS |
| Credential | PMHNP-BC |
| Practice Address |
3458 Neely Rd Joint Base Mdl NJ 08641-5312 |
| Mailing Address |
35 Medical Group Unit 5024 Apo AP 96319-5024 |
| Practice Telephone | 6097549324 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2018-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
844041 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669961934 | Stephanie R Ricks | Case Manager/Care Coordinator | 628 Poplar St, Elyria, OH 44035-4065 | 2018-05-02 |
| 1679093074 | Stephanie Rizzuto Ricks | Dentist | 1500 Aston Ave, Mccomb, MS 39648-2735 | 2017-06-27 |
| Street Address |
3458 NEELY RD |
| City | JOINT BASE MDL |
| State | NJ |
| Zip Code | 08641-5312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649276866 | Patrick Anthony Johnson | Optometrist | 3458 Neely Rd, Joint Base Mdl, NJ 08641-5312 | 2005-06-22 |
| 1770068942 | Oliver Moore | Nurse Practitioner | 3458 Neely Rd, Joint Base Mdl, NJ 08641-5312 | 2018-10-03 |
| 1356848758 | Jeffrey Chung Hee Kim | Pharmacist | 3458 Neely Rd, Joint Base Mdl, NJ 08641-5312 | 2018-04-11 |
| 1881192284 | Sara Anne Keith | Social Worker | 3458 Neely Rd, Joint Base Mdl, NJ 08641-5312 | 2018-01-31 |
| 1861920787 | Sion Kim | General Practice | 3458 Neely Rd, Joint Base Mdl, NJ 08641-5312 | 2017-05-24 |
| 1427465889 | 87th Medical Group | Pharmacy | 3458 Neely Rd, Joint Base Mdl, NJ 08641-5312 | 2014-07-17 |
| 1710304852 | James Miller | Psychologist | 3458 Neely Rd, Joint Base Mdl, NJ 08641-5312 | 2014-03-26 |
| 1538408646 | Elle Sowa Cleaves | General Practice | 3458 Neely Rd, Joint Base Mdl, NJ 08641-5312 | 2013-02-08 |
| 1689935165 | Kathleen Erin Hemphill | Pharmacist | 3458 Neely Rd, Joint Base Mdl, NJ 08641-5312 | 2012-05-31 |
| 1396026571 | Charles Joshua Stallings | Pharmacist | 3458 Neely Rd, Joint Base Mdl, NJ 08641-5312 | 2011-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497108856 | Prince Philip | Internal Medicine | Jbmdl, 3458 Neely Road, Apo, AA 08641 | 2016-07-20 |
| 1932517851 | Brittany Russell | Counselor | 3458 Neeley Rd, Jb Mcguire-dix-lakehurst, Wrightstown, NJ 08641 | 2014-07-23 |
| 1306263108 | Jamal Hogan Sr. | Military Health Care Provider | 3322 Charles Blvd, 108th Crg, Mcguire Afb, NJ 08641 | 2014-03-19 |
| 1659505030 | Kimberley Dawn Bock Tabor | Military Health Care Provider | 3453 Neely Rd, Mcguire Afb, NJ 08641 | 2009-05-13 |
| 1780835686 | Jeffrey Matthew Butch | Nurse Practitioner | 87th Medical Group, 3458 Neely Road, Jbmdl, NJ 08641 | 2008-10-09 |
| 1376736041 | Jennifer Bench | Dental Hygienist | 305th Dental Squadron, Bldg. 2417 Mcguire Blvd., Mcguire Afb, NJ 08641 | 2007-08-24 |
| 1447383765 | Nikolay Sky | Dentist | Mcguire Air Force Base, New Hanover, NJ 08641 | 2007-03-14 |
| 1003995085 | Kevin Hale Black | Dentist | 205th Dental Squadron, Bldg 2417, Mcguire Blvd, Mcguire Afb, NJ 08641 | 2006-11-02 |
| 1336234285 | Barbara D Broadt | Dietitian, Registered | 305 Medical Group 3458 Neely Road, Mcguire Afb, NJ 08641 | 2006-10-04 |
| 1649378043 | Judith Anne Frankel | Psychologist | 3458 Neely Rd., 305th Medical Group/sgomh, Mcguire Afb, NJ 08641 | 2006-09-20 |
| Find all providers in zip 08641 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770068942 | Oliver Moore | Nurse Practitioner | 3458 Neely Rd, Joint Base Mdl, NJ 08641-5312 | 2018-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699943 | Ernest Akwaboah | Nurse Practitioner | 87 Burnett Ave, Maplewood, NJ 07040-3094 | 2020-11-04 |
| 1548861081 | Temitope Akande | Nurse Practitioner | 557 Liberty St, Orange, NJ 07050-1275 | 2020-11-02 |
| 1538767587 | Ruth Yamoah-cofie | Nurse Practitioner | 1160 E 7th St, Plainfield, NJ 07062-1906 | 2020-10-13 |
| 1336756170 | Jacqueline Michele Arnone | Nurse Practitioner | 105 Windward Dr, Manahawkin, NJ 08050-3345 | 2020-09-25 |
| 1750997789 | Eunice Ramos | Nurse Practitioner | 300-a Forest Avenue, Paramus, NJ 07652 | 2020-09-15 |
| 1174138952 | Darlene Lupo | Nurse Practitioner | 72 Morris Ave, Neptune, NJ 07753 | 2020-09-09 |
| 1841804960 | Claudette L Blake | Nurse Practitioner | 890 Terrill Rd, Plainfield, NJ 07062-2250 | 2020-09-04 |
| 1982217873 | Ifeoma E Iherobiem | Nurse Practitioner | 884 S Springfield Ave Apt 18, Springfield, NJ 07081-3320 | 2020-08-28 |
| 1871106088 | Firmin Langyin | Nurse Practitioner | 200 Station Dr Apt 207, Avenel, NJ 07001-1793 | 2020-08-26 |
| 1205448859 | Yanick E Jean | Nurse Practitioner | 32 Deerfield Dr, West Orange, NJ 07052-3627 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
| City | JOINT BASE MDL |
| Zip Code | 08641 |
Please comment or provide details below to improve the information on MRS. STEPHANIE RICKS.
| 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.