MRS. CAROLYN RICKETTS RDCS RDMS RVT ARR NPI 1790728293

NPI Information

NPI: 1790728293
Provider Name: MRS. CAROLYN RICKETTS, RDCS, RDMS, RVT, ARR
Classification: Specialist/Technologist Cardiovascular - 246XS1301X
Entity Type: Individual

Specialization: Sonography

Address:
9022 LUCKY RD
MC MINNVILLE, TN
ZIP 37110
Phone: (931) 934-2020
Get Directions

MRS. Carolyn Ricketts, RDCS, RDMS, RVT, ARR is a sonography specialist technologist cardiovascular in Mc Minnville, TN. MRS. Carolyn Ricketts, RDCS, RDMS, RVT, ARR NPI is 1790728293. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9022 LUCKY RD
MC MINNVILLE, TN
ZIP 37110-486
Phone: (931) 934-2020
Fax: (931) 934-2026

The enumeration date for this NPI number is 6/13/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246XS1301X	Specialist/Technologist Cardiovascular	Sonography	10577	TENNESSEE	Yes
2	2471C3402X	Radiologic Technologist	Radiography	079866	TENNESSEE	X
3	2471S1302X	Radiologic Technologist	Sonography	10577	TENNESSEE	X
4	2471V0105X	Radiologic Technologist	Vascular Sonography	10577	TENNESSEE	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4017629	OTHER	TENNESSEE	BLUE CROSS BLUE SHIELD
2	3790225	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE
3	3790225	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »