Active NPI
Galen Francis Richmond, APRN
- Pediatric Nurse Practitioner
- Prescott, AZ
National Provider Identifier
1023072519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP3376
- Practice address
- 1090 Commerce Dr
Prescott, AZ 86305-3700 - Phone
- (928) 583-1000
- Fax
- (866) 323-5458
- NPI assigned
- Apr 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP3313 | AZ | |
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | AP3314 | AZ | |
| Pediatric Nurse Practitioner | 363LP0200X | AP3376 | AZ | Primary |
Addresses
Primary practice location
1090 Commerce Dr
Prescott, AZ 86305-3700
Mailing address
5020 Flower CT
Prescott, AZ 86301-5856
Phone (607) 725-7026
Other practice location 1
5020 Flower Ct
Prescott, AZ 86301-5856
Phone (607) 725-7026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP3313 | AZ | MD | Adult Health Nurse Practitioner |
| AP3376 | AZ | MD | Pediatric Nurse Practitioner |
| AP3314 | AZ | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533859200000",
"number": "1023072519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5020 FLOWER CT",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863015856",
"telephone_number": "607-725-7026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 COMMERCE DR",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863053700",
"telephone_number": "928-583-1000",
"fax_number": "866-323-5458"
}
],
"practiceLocations": [
{
"address_1": "5020 Flower Ct",
"address_purpose": "LOCATION",
"city": "Prescott",
"state": "AZ",
"postal_code": "863015856",
"country_code": "US",
"telephone_number": "607-725-7026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHMOND",
"first_name": "GALEN",
"middle_name": "FRANCIS",
"name_prefix": "Mr.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2018-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AZ",
"license": "AP3313",
"primary": false
},
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "AZ",
"license": "AP3314",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AZ",
"license": "AP3376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.