Active NPI
Derek Richard
- Critical Care Registered Respiratory Therapist
- Missoula, MT
National Provider Identifier
1194694588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Registered Respiratory Therapist
- License
- RCP-RCP-LIC-9520
- Practice address
- 500 W Broadway St
Missoula, MT 59802-4008 - Phone
- (406) 543-7271
- NPI assigned
- Nov 3, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Critical Care Registered Respiratory Therapist | 2279C0205X | RCP-RCP-LIC-9520 | MT | Primary |
Addresses
Primary practice location
500 W Broadway St
Missoula, MT 59802-4008
Mailing address
4709 Bailey St
Missoula, MT 59808-1469
Phone (406) 241-1235
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RCP-RCP-LIC-9520 | MT | MD | Critical Care Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1194694588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4709 BAILEY ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081469",
"telephone_number": "406-241-1235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W BROADWAY ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024008",
"telephone_number": "406-543-7271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARD",
"first_name": "DEREK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-11-03",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "2279C0205X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Respiratory Therapist, Registered, Critical Care",
"state": "MT",
"license": "RCP-RCP-LIC-9520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.