Active NPI
Jessi Ellen Richmond, ARNP FNP-C
- Family Nurse Practitioner
- New London, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A119738
- Practice address
- 111 W Washington St
New London, IA 52645-1329 - Phone
- (319) 367-2241
- NPI assigned
- Aug 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A119738 | IA | Primary |
Addresses
Primary practice location
111 W Washington St
New London, IA 52645-1329
Mailing address
111 W Washington St
New London, IA 52645-1329
Phone (319) 367-2241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A119738 | IA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Provider Partners Care Management LP | Current | Accepting new patients | |
| Henry County Health Center Inc | Current | Accepting new patients | |
| Karefirst Iowa PC | Current | Accepting new patients | |
| Henry County Health Center, Inc. | Past | Accepting new patients |
Locations
2730 Crow Creek Rd
Bettendorf, IA 52722
Phone (563) 332-7463
13435 University Ave
Ste 500
Clive, IA 50325
407 S White St
Ste 21
Mount Pleasant, IA 52641
Phone (319) 385-5374
407 S White St
Mt Pleasant, IA 52641
Phone (319) 385-6110
407 S White St
Ste 103
Mt Pleasant, IA 52641
Phone (319) 385-6166
111 W Washington St
New London, IA 52645
Phone (319) 367-2241
8525 Urbandale Ave
Urbandale, IA 50322
Phone (515) 331-0970
1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622
8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Mt Pleasant, IA
- NPI 1871177477
-
- Nurse Practitioner
- Davenport, IA
- NPI 1942676945
-
- Medicare Defined Swing Bed Hospital Unit
- Mt Pleasant, IA
- NPI 1346824943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493683200000",
"number": "1083023451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 W WASHINGTON ST",
"city": "NEW LONDON",
"state": "IA",
"postal_code": "526451329",
"telephone_number": "319-367-2241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W WASHINGTON ST",
"city": "NEW LONDON",
"state": "IA",
"postal_code": "526451329",
"telephone_number": "319-367-2241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHMOND",
"first_name": "JESSI",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "ARNP FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-10",
"last_updated": "2017-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A119738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New London, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.