Active NPI
Jessie Danielle Richmond, APRN
- Family Nurse Practitioner
- Murfreesboro, TN
National Provider Identifier
1124623665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 000028626
- Practice address
- 1118 Stratus Dr
Murfreesboro, TN 37127-7907 - Phone
- (931) 638-2453
- NPI assigned
- Dec 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 000028626 | TN | Primary |
Addresses
Primary practice location
1118 Stratus Dr
Murfreesboro, TN 37127-7907
Mailing address
1118 Stratus Dr
Murfreesboro, TN 37127-7907
Phone (931) 638-2453
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
741 President PL
Suite 200
Smyrna, TN 37167-6809
Phone (615) 721-9676
741 President Place
Suite 200
Smyrna, TN 37167-6809
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000028626 | TN | MD | Family Nurse Practitioner |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ABAHAA/Endpoint/ABAHAA
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Smyrna, TN
- NPI 1679581433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1124623665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 STRATUS DR",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371277907",
"telephone_number": "931-638-2453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 STRATUS DR",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371277907",
"telephone_number": "931-638-2453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHMOND",
"first_name": "JESSIE",
"middle_name": "DANIELLE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-02",
"last_updated": "2020-12-02",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "000028626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.