Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELIZABETH RENEE RICKETTS
ActiveELIZABETH RENEE RICKETTS is a Community Health Worker healthcare provider located in VINEYARD HAVEN, Massachusetts. NPI 1538677521 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · VINEYARD HAVEN, MA
Registration Details
- NPI Number
- 1538677521
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 12, 2018 (8.5783784500683 yrs)
- Last Updated
- Nov 21, 2025
- Licenses
-
U78904309 (MA)CHW1361 (MA)
Practice Information
- Address
-
111 EDGARTOWN VINEYARD HAVEN RDVINEYARD HAVEN, MA, 025685699Browse MA providers · Browse ZIP 02568
- Phone
- 5086848126
- Fax
- 5086960401
- Primary Specialty
-
Community Health Worker
172V00000X
- Additional Specialty
- Case Manager
- Additional Specialty
- Community Health Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.