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DENISE RICKETTS
NPI 1255893343
Family Medicine in Port St Lucie, FL

Active since April 05, 2019CLIA Certified · 2 labs
1801 SE HILLMOOR DR STE A-102, PORT ST LUCIE, FL 34952(772) 249-2494(772) 249-3113 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 28, 2021, Apr 5, 2019 (2 updates tracked since 2019).

About Denise Ricketts NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENISE RICKETTS (NPI 1255893343) is a healthcare organization registered as a family medicine in Port St Lucie, Florida and active in the NPI registry since April 2019. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Okeeckbee, and lists Denise Ricketts, Owner, as its authorized official.

NPPES Registry Identity

NPI1255893343
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSEACOAST MEDICAL ASSOCIATES
Location Address1801 SE HILLMOOR DR STE A-102Port St Lucie, FL 34952-7545
Mailing Address5000 W Midway Rd Unit 12127Fort Pierce, FL 34979-8007 · (786) 390-2290
Phone(772) 249-2494
Fax(772) 249-3113
Organization SubpartNo
Authorized OfficialDenise RickettsOwner · (786) 390-2290
Enumeration DateApril 5, 2019
Last NPPES UpdateDecember 28, 20212 updates tracked since enumeration
NPPES CertifiedDecember 26, 2021
✔ NPI 1255893343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1801 SE HILLMOOR DR STE A-102, Port St Lucie, FL 34952
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Other Names 1

Doing Business AsDenise Ricketts

Secondary Practice Location 1

Location 11713 hwy 441 North, Suite EOkeeckbee, FL 34972 · Phone (772) 249-2494 · Fax (772) 249-3113

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2261817

Seacoast Medical Associates PA · Okeechobee, FL
Active · expires Jun 5, 2028
CLIA Number10D2261817
Laboratory TypePhysician Office
Certificate Effective DateJune 6, 2026
Certificate Expiration DateJune 5, 2028
Laboratory DirectorDenise Ricketts
Laboratory Phone(772) 249-2494
Laboratory LocationSeacoast Medical Associates PA1713 Us 441 North Ste E, Okeechobee, FL 34972
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2237448

Seacoast Medical Associates PA · Port Saint Lucie, FL
Active · expires Sep 23, 2027
CLIA Number10D2237448
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorDeniese Ricketts Grant
Laboratory Phone(772) 249-2494
Laboratory LocationSeacoast Medical Associates PA1400 SE Goldtree Dr Suite 207, Port Saint Lucie, FL 34952
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. S0NIA R BENNETT MD
Physician Assistant (Medical)
1801 SE HILLMOOR DR STE A-102
PORT ST LUCIE, FL 34952
St. Lucie County (772) 249-2494

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Seacoast Medical Associates's NPI number?

The NPI number for Seacoast Medical Associates is 1255893343. It was assigned to this organization in the NPPES registry on April 5, 2019. The provider is doing business as Denise Ricketts.

Where is Seacoast Medical Associates located?

Seacoast Medical Associates is located at 1801 SE Hillmoor Dr Ste A-102, Port St Lucie, FL 34952. The listed phone number is (772) 249-2494.

What is Seacoast Medical Associates's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Seacoast Medical Associates hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Seacoast Medical Associates was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.