Individual provider Active NPI

Christy Lee Richard, APRN, FNP

  • Family Nurse Practitioner
  • Centerton, AR
National Provider Identifier
1114687316
Registry record updated Mar 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
215125 Issued in AR
Practice address
1225 E Centerton Blvd
Centerton, AR 72719-1225
Phone
(479) 795-1301
Fax
(479) 795-1304
NPI assigned
Dec 29, 2021
Last updated
Mar 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F02210314 AR
Family Nurse Practitioner 363LF0000X 215125 AR Primary

Addresses

Primary practice location

1225 E Centerton Blvd
Centerton, AR 72719-1225

Mailing address

1225 E Centerton Blvd
Centerton, AR 72719-1225
Phone (479) 795-1301

Other practice location 1

107 S Logan St
Charleston, AR 72933-9036
Phone (479) 573-3120

Other practice location 2

1910 S Zero St
Fort Smith, AR 72901-8416
Phone (479) 259-9239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220204001372 AR Practitioner - Nurse Practitioner 7911390414 Reassigns benefits to 5 organizations
I20220812000184 OK Practitioner - Nurse Practitioner 7911390414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1225 E Centerton Blvd
Centerton, AR 72719-1225
Phone (479) 795-1301

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
215125ARMDFamily Nurse Practitioner
F02210314ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Fort Smith Communities CurrentSince Aug 8, 2022 Accepting new patients
Mercy Hospital Waldron CurrentSince Aug 8, 2022 Accepting new patients
Mercy Hospital Booneville Current Accepting new patients
Mercy Health Northwest Arkansas Communities Current Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Mar 19, 2023 Accepting new patients
Mercy Hospital Paris Current Accepting new patients
Mercy Hospital Booneville CurrentSince Aug 8, 2022 Accepting new patients
Mercy Hospital Waldron Current Accepting new patients
Mercy Hospital Paris CurrentSince Aug 8, 2022 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Mar 19, 2023 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Aug 8, 2022 Accepting new patients
Mercy Hospital Paris CurrentSince Aug 8, 2022 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Aug 8, 2022 Accepting new patients
Mercy Hospital Booneville CurrentSince Aug 8, 2022 Accepting new patients
Mercy Hospital Booneville Past Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

128 Daniel Dr
Booneville, AR 72927
Phone (479) 675-2455

1225 E Centerton Blvd
Centerton, AR 72719
Phone (479) 795-1301

107 S Logan St
Charleston, AR 72933
Phone (479) 573-3120

118 Tiger Dr
Charleston, AR 72933
Phone (479) 965-0806

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

303 S 5th St
Paris, AR 72855
Phone (479) 314-3154

500 E Academy St
Paris, AR 72855
Phone (479) 963-6101

1341 W 6th St
Waldron, AR 72958
Phone (479) 637-2136

1015 E Choctaw Ave
Sallisaw, OK 74955
Phone (918) 774-0034

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679184000000",
    "number": "1114687316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E CENTERTON BLVD",
            "city": "CENTERTON",
            "state": "AR",
            "postal_code": "727191225",
            "telephone_number": "479-795-1301",
            "fax_number": "479-795-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 E CENTERTON BLVD",
            "city": "CENTERTON",
            "state": "AR",
            "postal_code": "727191225",
            "telephone_number": "479-795-1301",
            "fax_number": "479-795-1304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 S Logan St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "AR",
            "postal_code": "729339036",
            "country_code": "US",
            "telephone_number": "479-573-3120",
            "fax_number": "479-965-2008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1910 S Zero St",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729018416",
            "country_code": "US",
            "telephone_number": "479-259-9239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "CHRISTY",
        "middle_name": "LEE",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-29",
        "last_updated": "2023-03-19",
        "certification_date": "2023-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "F02210314",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "215125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerton, AR

Sources for this page

Verify at the official NPI Registry.