Crystal Evangeline Richardson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95229238 Issued in CA

Practice address

5397 Norway Dr
Ventura, CA 93001-1043

Phone

(805) 515-6199

NPI assigned

Nov 17, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1003419680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5397 NORWAY DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930011043",
            "telephone_number": "805-515-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5397 NORWAY DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930011043",
            "telephone_number": "805-515-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "CRYSTAL",
        "middle_name": "EVANGELINE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95229238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "8055156199",
            "affiliation": "N",
            "endpointDescription": "cell phone",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "All",
            "address_1": "5397 Norway Dr",
            "city": "Ventura",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930011043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ramtin Riahi, DDS
• Chantal Riba
• Cameron Michael Rice, M.D.
• Ken Eh Richards, PT
• Kirk PM Richards, PT
• Jeffrey R Richardson, M D
• Paul Edward Richardson
• Scot J Richardson, M.D.
• Kyra F Riddell, LMFT
• Darlene Rideaux

• Registered Nurse in Ventura, CA
• Providers in Ventura, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.