Ricky Brockington
Nurse Practitioner

Address: 19124 Lakeside Dr, Courtland, VA 23837-2634
Phone: 7575622004

Ricky Brockington (NPI# 1871108233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1871108233
Entity Type Individual
Full Name Ricky Brockington
Gender Male
Practice Address 19124 Lakeside Dr
VA 23837-2634
Practice Telephone 7575622004
Mailing Address 19124 Lakeside Dr
VA 23837-2634
Mailing Telephone 7575622004
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-09-12
Last Update Date 2020-09-12

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers 0024180104 VA

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

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Office Location

Street Address 19124 LAKESIDE DR
State VA
Zip Code 23837-2634

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548777238 Andrea Hall-leonard Speech-Language Pathologist Southampton County Public Schools 21290 Plank Road, Courtland, VA 23837 2018-01-04
1679564421 Southampton County Board of Supervisors Ambulance 25436 Bridge St, Courtland, VA 23837-0000 2005-11-01
1053386979 Commonwealth of Virginia State Board of Health Clinic/Center 26022 Administrative Center Drive, Courtland, VA 23837-0009 2006-02-22
1679049944 Takeda Hinton Contractor 22086 Bateman St, Courtland, VA 23837-1005 2018-10-15
1467915991 Believe In Me Mobile Phlebotomy Services, LLC Clinic/Center 22086 Bateman St, Courtland, VA 23837-1005 2019-04-11
1174938393 Courtland Hearing Aids and Balance, LLC Clinic/Center 22730 Main St, Courtland, VA 23837-1127 2014-06-26
1235449497 Stacy Ann Brinkley Nurse Practitioner 22708 Main St, Courtland, VA 23837-1127 2010-10-20
1194117747 Mary Babb Nurse Practitioner 22708 Main St, Courtland, VA 23837-1127 2015-02-19
1821362856 Tenecia Renee Brown-shearin Case Manager/Care Coordinator 22038 High St, Courtland, VA 23837-1131 2012-03-08
1003829359 Medical Facilities of America Xliii Skilled Nursing Facility 23020 Main St, Courtland, VA 23837-1133 2006-08-15
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Zip Code 23837

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.