NPI Code Detail JSON Logo

1861157422 NPI number — DEANN MICHELLE RICKS APRN

NPI Number: 1861157422
Health Care Provider/Practitioner: DEANN MICHELLE RICKS APRN

Information about “1861157422” NPI (DEANN MICHELLE RICKS APRN) exists in 1861157422 in HTML format HTML  |  1861157422 in plain Text format TXT  |  1861157422 in PDF (Portable Document Format) PDF  |  1861157422 in an XML format XML  formats.

NPI Number : 1861157422 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861157422",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RICKS",
    "FirstName": "DEANN",
    "MiddleName": "MICHELLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RIFE",
    "OtherFirstName": "DEANN",
    "OtherMiddleName": "MICHELLE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "APRN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 511360",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOS ANGELES",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90051-7915",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "510-929-9075",
    "MailingAddressFaxNumber": "510-929-1414",
    "FirstLinePracticeLocationAddress": "6880 S MCCARRAN BLVD STE 5",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RENO",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89509-6129",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "775-398-1981",
    "PracticeLocationAddressFaxNumber": "775-398-1984",
    "EnumerationDate": "11/08/2021",
    "LastUpdateDate": "08/20/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "847118",
          "LicenseNumberStateCode": "NV",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LG0600X",
          "TaxonomyName": "Gerontology Nurse Practitioner",
          "LicenseNumber": "847118",
          "LicenseNumberStateCode": "NV",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LA2100X",
          "TaxonomyName": "Acute Care Nurse Practitioner",
          "LicenseNumber": "847118",
          "LicenseNumberStateCode": "NV",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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