Jennifer Richardson, NNP

Primary specialty

Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X

License

R855650 Issued in MS

Practice address

1991 Lakeland Dr Ste C
Jackson, MS 39216-5000

Phone

(601) 981-5887

Fax

(601) 981-7935

NPI assigned

Jun 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Jennifer Richardson Professional name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jrichardson10105@ummc.direct-ci.com

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.

• State of Mississippi - University of Mississippi Medical Center

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1154317527
  Medicare reassignment NPD
• State of Mississippi - University of Mississippi Medical Center

  • Prosthetic/Orthotic Supplier
  • Jackson, MS
  • NPI 1235019530
  NPD
• Newborn Associates P a

  • Neonatal-Perinatal Medicine Physician
  • Flowood, MS
  • NPI 1487784898
  NPD (past)
• The Newborn Associates, PA

  • Neonatal-Perinatal Medicine Physician
  • Hattiesburg, MS
  • NPI 1962818146

  Neonatal, Critical Care

  NPD (past)
• University Radiation Oncology Consultants, PLLC

  • Radiation Oncology Physician
  • Jackson, MS
  • NPI 1316026818
  NPD (past)

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1164683702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 LAKELAND DR STE C",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165000",
            "telephone_number": "601-981-5887",
            "fax_number": "601-981-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 LAKELAND DR STE C",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165000",
            "telephone_number": "601-981-5887",
            "fax_number": "601-981-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "JENNIFER",
        "credential": "NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "MS",
            "license": "R855650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06939583",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "RICHARDSON",
            "prefix": "MRS.",
            "credential": "NNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Richardson Psychiatric P.a.
• Alexis Richardson
• Ashya Richardson
• Denise W Richardson, P-LPC
• Edward Lafayette Richardson III, PHARMD
• Karen S Richardson, LPC
• Kiara S Richardson, MD
• Leigh Ann Richardson, L.P.C
• Samuel Milton Richardson III, M.D.
• Tyronda Shuree Richardson, CFNP

• Critical Care Neonatal Nurse Practitioner in Jackson, MS
• Providers in Jackson, MS by specialty
• Critical Care Neonatal Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.

Verify at the official NPI Registry.