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
Courtland
VA 23837-2634
Practice Telephone 7575622004
Mailing Address 19124 Lakeside Dr
Courtland
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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619572153 Tierra Latrice Wiggins Nurse Practitioner 3145 Virginia Beach Blvd Ste 202, Virginia Beach, VA 23452-6950 2020-12-02
1275136327 Careteam, LLC Nurse Practitioner 5301 Main St, Mount Jackson, VA 22842-9649 2020-11-20
1699378737 Careteam, LLC Nurse Practitioner 541 Bridge St # 1, Danville, VA 24541-1451 2020-11-20
1467055517 Careteam, LLC Nurse Practitioner 14401 Industrial Park Rd, Bristol, VA 24202-3705 2020-11-20
1508468265 Mh 102, PC Nurse Practitioner 2347 Kratzer Rd, Rockingham, VA 22802-1004 2020-11-09
1306445846 Stephanie Leann Ball Nurse Practitioner 655 Belfast School Rd, Cedar Bluff, VA 24609-8217 2020-10-24
1548867526 Pamela Jean Scholl Nurse Practitioner 3704 Aquia Dr, Stafford, VA 22554-2705 2020-10-02
1356948483 Dawn Aimee Fisher Nurse Practitioner 2187 Hunters Lodge Rd, Troy, VA 22974-4344 2020-10-01
1952918880 Amesha Renee Custis Nurse Practitioner 2647 Jason Ave, Norfolk, VA 23509-1073 2020-09-24
1578178422 Behishta Ishanzai Nurse Practitioner 7500 Geoint Dr, Springfield, VA 22150-7500 2020-09-08
Find all providers with the same taxonomy

Office Location

Street Address 19124 LAKESIDE DR
City COURTLAND
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
Find all providers in zip 23837

Competitor

Search similar providers

City COURTLAND
Zip Code 23837

Improve Information

Please comment or provide details below to improve the information on Ricky Brockington.

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.