MEDICARE: JADE LILY RICCI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374700000X	Technician

General Provider Information

NPI Number	:	1760255541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JADE LILY RICCI

Provider Business Mailing Address
First Line	:	4343 LACLEDE AVE APT G
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-2253
Country	:	US
Telephone Number	:	408-455-8909
Fax Number	:

Provider Business Practice Location Address
First Line	:	1027 BELLEVUE AVE FL 3
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63117-1996
Country	:	US
Telephone Number	:	314-768-5202
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2023
Last Update Date	:	11/02/2023

Similar Medicare Providers

1659562528 — KENYATTA D NORMAN M.D.
Practice Location Address:

1209 WASHINGTON AVE , STE 518
SAINT LOUIS, MO
63103-1996

Practice Phone: 317-345-7518
Practice Fax:

1740714724 — CATHERINE KAGOTHO
Practice Location Address:

1027 BELLEVUE AVE
SAINT LOUIS, MO
63117-1996

Practice Phone: 314-768-5202
Practice Fax:

1619445673 — HEATHER RENEE RAPP
Practice Location Address:

1996 BELLEVUE AVE
SAINT LOUIS, MO
63143-1309

Practice Phone: 314-882-9454
Practice Fax:

1467088948 — KELSEY GALICIA OTR/L
Practice Location Address:

1027 BELLEVUE AVE
SAINT LOUIS, MO
63117-1996

Practice Phone: 314-768-5375
Practice Fax:

1114598703 — MADDISON ALISE O'LEARY SLP
Practice Location Address:

1027 BELLEVUE AVE
SAINT LOUIS, MO
63117-1996

Practice Phone: 314-768-5202
Practice Fax:

1609550177 — TERRI LITTLE
Practice Location Address:

1027 BELLEVUE AVE
SAINT LOUIS, MO
63117-1996

Practice Phone: 314-768-5202
Practice Fax:

Directions to “ JADE LILY RICCI ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.