Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Danielle Marie Ricks, PA-C

Individual provider Physician Assistant · NPI 1639644123

Danielle Marie Ricks, PA-C is a Physician Assistant in Moab, Utah. Qualified in 2018, 8 years ago. Licensed in Utah.

Years since qualifying
8
Licensed in
UT
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2700 S Highway 191 Ste 2
Moab, UT 84532-3443
Phone: (435) 259-4466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10992609-1206 (UT)

Record details

NPI number1639644123
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 10, 2018
Last updated in NPPESOctober 10, 2018
Mailing address2700 S Highway 191 Ste 2, Moab, UT 84532-3443

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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