Angela Rose Richard

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

3410 Cherry Avenue NE
Keizer, OR 97303

Phone

(503) 304-3400

NPI assigned

Nov 30, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1003359605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 ADAMS ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 CHERRY AVENUE NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "97303",
            "telephone_number": "503-304-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "ANGELA",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "772437",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chaney Reel Davis, RN, PMHNP, FNP
• Renaissance Recovery Resources, Inc. (Oregon Recovery Behavioral Health)
• Renaissance Recovery Resources, Inc. (Oregon Recovery Behavioral Health)
• Melissa Ann Renzi
• Tehya Rice
• Robert Shane Rictor, CADC I, CRM
• Jessica Rist
• River Road First Assisting
• Rune Arcade Rivers, LMT
• Sean Robins, DC

• Community Health Worker in Keizer, OR
• Providers in Keizer, OR by specialty
• Community Health Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.