Dylan Roy Richmond

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11299468-4405 Issued in UT

Practice address

7984 S 1300 E
Sandy, UT 84094-0744

Phone

(916) 412-6333

NPI assigned

Oct 18, 2025

Last updated

Oct 24, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• George Mackel, Pmhnp-BC, LLC

  dba Ohana Care Clinic

  • Rural Health Clinic/Center
  • Hilo, HI
  • NPI 1184583585
  Medicare reassignment

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

{
    "created_epoch": "1760745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1073480745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7984 S 1300 E",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840940744",
            "telephone_number": "916-412-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7984 S 1300 E",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840940744",
            "telephone_number": "916-412-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "DYLAN",
        "middle_name": "ROY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-18",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "11299468-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Richardson, RNFA
• Marylynne Richardson, MED.
• Stephen F Richardson, M.D.
• Steven G Richardson, MD
• Clarissa Lynne Riches, NP
• Daniel J Ricks, MD
• Heather Ridge, RN
• Twana Rigney, PA-C
• Nicola Irene Riley, MD
• Chelsea Lauren Rinde, LMT, PTA

• Psychiatric/Mental Health Nurse Practitioner in Sandy, UT
• Providers in Sandy, UT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.