Individual provider Active NPI

Kelsey Richardson

  • Speech-Language Pathologist
  • Nashua, NH
National Provider Identifier
1033847512
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
P0894 Issued in NH
Practice address
55 Harris Rd
Nashua, NH 03062-2145
Phone
(603) 888-1573
NPI assigned
Aug 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X P0894 NH Primary

Addresses

Primary practice location

55 Harris Rd
Nashua, NH 03062-2145

Mailing address

55 Harris Rd
Nashua, NH 03062-2145

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL http://premiernursinghome.com/
CONNECT URL http://premiernursinghome.com/?fbclid=IwAR3EOW_vjppBFu4HpTy1KG3XfN59VPOpfw1HlWtPXt6Asodl06dARjCxC7A Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
P0894NHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1033847512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HARRIS RD",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030622145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HARRIS RD",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030622145",
            "telephone_number": "603-888-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "KELSEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "P0894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://premiernursinghome.com/",
            "affiliation": "N",
            "address_1": "55 Harris Rd",
            "city": "Nashua",
            "state": "NH",
            "country_code": "US",
            "postal_code": "030622145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://premiernursinghome.com/?fbclid=IwAR3EOW_vjppBFu4HpTy1KG3XfN59VPOpfw1HlWtPXt6Asodl06dARjCxC7A",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "55 Harris Rd",
            "city": "Nashua",
            "state": "NH",
            "country_code": "US",
            "postal_code": "030622145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.