MS. KRISTIN DIANE RICKELMAN NP NPI 1285629428

NPI Information

NPI: 1285629428
Provider Name: MS. KRISTIN DIANE RICKELMAN, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: DIGNITY HEALTH MEDICAL FOUNDATION

PECOS Registration: Yes

Address:
2081 BRONZE STAR DR
WOODLAND, CA
ZIP 95776
Phone: (530) 668-2600
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MS. Kristin Diane Rickelman, NP is a family nurse practitioner in Woodland, CA with 22 years of experience. MS. Kristin Diane Rickelman, NP NPI is 1285629428. 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:

2081 BRONZE STAR DR
WOODLAND, CA
ZIP 95776-423
Phone: (530) 668-2600
Fax: (530) 661-1027

The NPI 1285629428 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/14/2005 and was last updated on 7/16/2020.

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	363LF0000X	Nurse Practitioner	Family	NP 17161	CALIFORNIA	Yes

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	552017	OTHER	CALIFORNIA	RN
2	NPF 17161	OTHER	CALIFORNIA	NURSE PRACTITIONER FURNISHING NUMBER CERTIFICATE

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: 11/14/2023

NPI Synchronization or Removal

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