BEVERLY RICKETTS PNP – NPI #1477683985
Registered Nurse

BEVERLY RICKETTS is a registered nurse (RN) located in PHOENIX, AZ. NPPES has assigned the NPI number 1477683985 to BEVERLY RICKETTS on March 06, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 163WP0200X from the Health Care Provider Taxonomy code set, which is classified as Registered Nurse, specializing in Pediatrics

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BEVERLY RICKETTS below.

NPI Profile for
BEVERLY RICKETTS

NPI Number
1477683985
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
BEVERLY RICKETTS
Credentials
PNP
Primary location
4633 E CHANDLER BLVD STE 100
PHOENIX, AZ 85048-0431
Phone: (480) 776-0440 Fax:
Mailing address
10663 E AUTUMN SAGE DR
SCOTTSDALE, AZ 85255-8830
Phone: (480) 563-2109 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
163WP0200X
- Registered Nurse / Pediatrics (Primary)		 AZ RN031459

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.