MRS. CAROLYN RICKETTS (NPI# 1790728293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790728293 |
| Entity Type | Individual |
| Full Name | MRS. CAROLYN RICKETTS |
| Credential | RDCS, RDMS, RVT, ARR |
| Practice Address |
9022 Lucky Rd Mc Minnville TN 37110-4486 |
| Practice Telephone | 9319342020 |
| Practice Fax Number | 9319342026 |
| Mailing Telephone | 9319342020 |
| Mailing Fax Number | 9319342026 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
10577 | TN | Technologists, Technicians & Other Technical Service Providers |
| X | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
079866 | TN | Technologists, Technicians & Other Technical Service Providers |
| X | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
10577 | TN | Technologists, Technicians & Other Technical Service Providers |
| X | 2471V0105X |
Radiologic Technologist Specialization: Vascular Sonography |
10577 | TN | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUE SHIELD | 4017629 | 01 |
| TN | 3790225 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538557459 | Carolyn Beth Ricketts | Social Worker | 20200 Redwood Road, Suite 16, Castro Valley, CA 94546 | 2014-12-30 |
| Street Address |
9022 LUCKY RD |
| City | MC MINNVILLE |
| State | TN |
| Zip Code | 37110-4486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962440537 | R & R Imaging, Inc | Spec/Tech, Cardiovascular | 9022 Lucky Rd, Mc Minnville, TN 37110-4486 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223984 | Ramila, LLC | Pharmacy | 2652, Old Nashville Hwy, Mcminnville, TN 37110 | 2020-10-22 |
| 1598319055 | Ashley Nicole Hobbs | Registered Nurse | 1401 Sparta Street, Mcminnville, TN 37110 | 2019-08-01 |
| 1033476734 | Samantha Brooke Johnson | Occupational Therapy Assistant | 928 Old Smithville Road, Mcminnville, TENNESSEE 37110 | 2012-04-18 |
| 1245500800 | Jennifer Ann Strunk | Social Worker | 306 N. Chancery Street, Mcminnville, TN 37110 | 2012-01-12 |
| 1477858322 | Nancy M Walker | Pharmacist | 912 N Chancery Street, Mcminnville, TN 37110 | 2011-01-24 |
| 1811225568 | Mcminnville Boarding Home for The Elderly | Assisted Living Facility | 345 Garfield St., Mcminnville, TN 37110 | 2009-11-18 |
| 1750571246 | Jeremy Lee Sanders | Pharmacist | 1100 New Smithville Hwy Suite 114, Mcminnville, TN 37110 | 2007-07-31 |
| 1144383522 | Britt Allan King | Occupational Therapist | 128 Old Smithville Hwy, Mcminnville, TN 37110 | 2006-12-18 |
| 1952478992 | Jeanne Kay Ball | Physical Therapy Assistant | Nhc Mcminneville, 928 Old Smithville Rd, Mcminnville, TN 37110 | 2006-11-28 |
| 1760559702 | Amy Cheryl Fox | Occupational Therapy Assistant | Nhc Mcminnville 928 Old Smithville Rd, Mcminnville, TN 37110 | 2006-11-28 |
| Find all providers in zip 37110 | ||||
| Taxonomy Code | 246XS1301X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Cardiovascular |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962440537 | R & R Imaging, Inc | Spec/Tech, Cardiovascular | 9022 Lucky Rd, Mc Minnville, TN 37110-4486 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780891903 | Deerwood Ultrasound, LLC | Spec/Tech, Cardiovascular | 1667 Preston Pl, Brentwood, TN 37027-8660 | 2007-05-17 |
| 1679619639 | Professional Imaging Services LLC | Spec/Tech, Cardiovascular | 7238 Austin Park Ln, Knoxville, TN 37920-8240 | 2007-01-29 |
| 1326441403 | Dan Ying Liu | Spec/Tech, Cardiovascular | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2014-10-02 |
| 1548519739 | Antonia Tidwell | Spec/Tech, Cardiovascular | 323 Savannah Rdg, Murfreesboro, TN 37127-8331 | 2012-09-03 |
| City | MC MINNVILLE |
| Zip Code | 37110 |
Please comment or provide details below to improve the information on MRS. CAROLYN 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.