Nathan Robert Richards

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3007 Harbor LN N
Plymouth, MN 55447-5103

Phone

(612) 509-6670

NPI assigned

Jul 24, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1013526193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13210 45TH AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554422342",
            "telephone_number": "612-910-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 HARBOR LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475103",
            "telephone_number": "612-509-6670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13210 45th Ave N",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MN",
            "postal_code": "554422342",
            "country_code": "US",
            "telephone_number": "612-910-4769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "NATHAN",
        "middle_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-24",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joslyn Renae Reyes, PA-C
• Audrey May Reynolds, CRNA
• Christopher John Reynolds, DO
• Richard Larson Chiropractic, LLC
• Melody Joy Richards, MA, LPC
• Amanda Jean Richardson, RN, PMHNP-BC
• Lawrence Gale Richmond, MD
• Michael Joseph Richter
• Sara Ridley
• Tyler Lawrence Rieck

• Behavior Technician in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.