Individual provider Active NPI

Melinda G Richards, FNP

  • Nurse Practitioner
  • Yazoo City, MS
National Provider Identifier
1114084241
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R701246 Issued in MS
Practice address
823 Grand Ave
Yazoo City, MS 39194-3233
Phone
(662) 751-8289
Fax
(662) 751-8279
NPI assigned
Jan 1, 2007
Last updated
Aug 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R701246 MS Primary

Addresses

Primary practice location

823 Grand Ave
Yazoo City, MS 39194-3233

Mailing address

965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401

Other practice location 1

307 E Fifteenth St
Yazoo City, MS 39194-2631
Phone (662) 746-2113

Other practice location 2

1825 Dr Martin Luther King Jr Dr
Yazoo City, MS 39194-2690
Phone (662) 746-1514

Other practice location 3

1825 Dr Martin Luther King Jr Dr
Yazoo City, MS 39194-2690
Phone (662) 746-1514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20050816000559 MS Practitioner - Nurse Practitioner 9032149455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KDH Primary CareGroup PAC ID 9234317207, 7 clinicians

Practice addresses (Care Compare)

823 Grand Ave
Yazoo City, MS 39194-3233
Phone (662) 157-8158

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R701246MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Center - Yazoo, Inc CurrentSince Aug 1, 2015 Accepting new patients
Baptist Medical Center - Yazoo, Inc Current Accepting new patients

Locations

307 E Fifteenth St
Yazoo City, MS 39194
Phone (662) 746-2113

823 Grand Ave
Yazoo City, MS 39194
Phone (601) 746-2261

Interoperability endpoints

  • Direct secure messaging: mrichards149088@direct.bmhcc.org

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1114084241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 315",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 GRAND AVE",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391943233",
            "telephone_number": "662-751-8289",
            "fax_number": "662-751-8279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 E Fifteenth St",
            "address_purpose": "LOCATION",
            "city": "Yazoo City",
            "state": "MS",
            "postal_code": "391942631",
            "country_code": "US",
            "telephone_number": "662-746-2113",
            "fax_number": "662-746-2115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1825 Dr Martin Luther King Jr Dr",
            "address_purpose": "LOCATION",
            "city": "Yazoo City",
            "state": "MS",
            "postal_code": "391942690",
            "country_code": "US",
            "telephone_number": "662-746-1514",
            "fax_number": "601-859-8771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1825 Dr Martin Luther King Jr Dr",
            "address_purpose": "LOCATION",
            "city": "Yazoo City",
            "state": "MS",
            "postal_code": "391942690",
            "country_code": "US",
            "telephone_number": "662-746-1514",
            "fax_number": "601-859-8771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "MELINDA",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-01",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R701246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yazoo City, MS

Sources for this page

Verify at the official NPI Registry.