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

Lauren Ricchiuti-Jackson

Individual provider Family Medicine Physician · NPI 1164042966

Lauren Ricchiuti-Jackson is a Family Practice in Bradenton, Florida. Graduated from Philadelphia Col of Osteo Med, Sewanee in 2020, 6 years ago. Practices with Cooper Family Medical PLLC, a 19-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Trained at
Philadelphia Col of Osteo Med, Sewanee
Licensed in
FL
In the registry since
2020
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Practice location Address checks out

5123 4th Avenue Cir E
Bradenton, FL 34208-5620
Phone: (941) 744-5510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS19939 (FL)

Record details

NPI number1164042966
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 21, 2020
Last updated in NPPESJuly 10, 2024
Certification dateAugust 21, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolPHILADELPHIA COL OF OSTEO MED, SEWANEE
Graduated 2020 (6 years in practice)
Group practice Cooper Family Medical Pllc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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