JACOB ROBERT RICKOLL NP NPI 1225665417

NPI Information

NPI: 1225665417
Provider Name: JACOB ROBERT RICKOLL, NP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Organization: NO/AIDS TASK FORCE

PECOS Registration: Yes

Address:
1631 ELYSIAN FIELDS AVE
NEW ORLEANS, LA
ZIP 70117
Phone: (504) 821-2601
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Jacob Robert Rickoll, NP is a primary care nurse practitioner in New Orleans, LA with 4 years of experience. Jacob Robert Rickoll, NP NPI is 1225665417. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1631 ELYSIAN FIELDS AVE
NEW ORLEANS, LA
ZIP 70117-208
Phone: (504) 821-2601

The NPI 1225665417 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 3/26/2020 and was last updated on 3/4/2021.

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	363LG0600X	Nurse Practitioner	Gerontology	214020	LOUISIANA	No
2	363LP2300X	Nurse Practitioner	Primary Care	214020	LOUISIANA	Yes

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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