Individual provider Active NPI

Karissa Leigh Richards, ARNP

  • Women's Health Nurse Practitioner
  • Stuart, FL
National Provider Identifier
1144410713
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
ANT9251384 Issued in FL
Practice address
3511 SE Willoughby Blvd
Stuart, FL 34994-5059
Phone
(772) 221-7789
Fax
(772) 221-8584
NPI assigned
Jul 30, 2007
Last updated
Jul 30, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ANT9251384 FL
Women's Health Nurse Practitioner 363LW0102X ANT9251384 FL Primary

Addresses

Primary practice location

3511 SE Willoughby Blvd
Stuart, FL 34994-5059

Mailing address

3511 SE Willoughby Blvd
Stuart, FL 34994-5059
Phone (772) 221-7789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20130930000042 FL Practitioner - Nurse Practitioner 4082848320 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ANT9251384FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Breast Specialists PLLC CurrentSince Oct 20, 2019 Accepting new patients
Richard B Weisberg PA CurrentSince Jun 26, 2013 Accepting new patients

Locations

1141 SE Indian St
Stuart, FL 34997
Phone (772) 221-7789

1141 SE Indian St
Ste 101
Stuart, FL 34997
Phone (772) 221-7789

2220 SE Ocean Blvd
Ste 203
Stuart, FL 34996
Phone (772) 220-3339

3511 SE Willoughby Blvd
Stuart, FL 34994
Phone (772) 221-7789

Interoperability endpoints

  • Direct secure messaging: soutfloridabreastspecialists.karissarichards@121947.advancedmd-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1144410713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 SE WILLOUGHBY BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349945059",
            "telephone_number": "772-221-7789",
            "fax_number": "772-221-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 SE WILLOUGHBY BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349945059",
            "telephone_number": "772-221-7789",
            "fax_number": "772-221-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "KARISSA",
        "middle_name": "LEIGH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ANT9251384",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "ANT9251384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.