{"npi":"1790728293","type":"NPI-1","status":"active","name":{"display":"Mrs. Carolyn Ricketts Rdcs, Rdms, Rvt, Arr","other":[],"first":"CAROLYN","last":"RICKETTS","credential":"RDCS, RDMS, RVT, ARR"},"specialty":{"primary_taxonomy":"2471V0105X","primary_taxonomy_description":"Vascular Sonography Radiologic Technologist","slug":"vascular-sonography-radiologic-technologist","schema_org_specialty":null,"all":[{"code":"246XS1301X","description":"Sonography Specialist/Technologist Cardiovascular","primary":false,"state":"TN","license":"10577"},{"code":"2471C3402X","description":"Radiography Radiologic Technologist","primary":false,"state":"TN","license":"079866"},{"code":"2471S1302X","description":"Sonography Radiologic Technologist","primary":false,"state":"TN","license":"10577"},{"code":"2471V0105X","description":"Vascular Sonography Radiologic Technologist","primary":true,"state":"TN","license":"10577"}]},"addresses":[{"purpose":"LOCATION","street_1":"9022 LUCKY RD","city":"MC MINNVILLE","state":"TN","postal_code":"371104486","country_code":"US","phone":"9319342020","fax":"9319342026"},{"purpose":"MAILING","street_1":"9022 LUCKY RD","city":"MC MINNVILLE","state":"TN","postal_code":"371104486","country_code":"US","phone":"9319342020","fax":"9319342026"}],"license":{"state":"TN","number":"10577"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"3790225","state":"TN","issuer":null},{"type_code":"01","label":"Other","value":"4017629","state":"TN","issuer":"BLUE CROSS BLUE SHIELD"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-06-13","last_updated":"2025-09-11","_meta":{"source":"NPPES","snapshot_date":"2025-09-11","doc_url":"https://findmynpi.com/api"}}