Individual provider Active NPI

Wendy Lee Richmond, R.N.

  • Registered Nurse
  • Mount Vernon, OH
National Provider Identifier
1205229291
Registry record updated Dec 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN.411494 Issued in OH
Practice address
5 W Gambier St Ste 201
Mount Vernon, OH 43050-3301
Phone
(740) 326-6060
NPI assigned
Mar 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN411494 OH
Registered Nurse 163W00000X RN.411494 OH Primary

Addresses

Primary practice location

5 W Gambier St Ste 201
Mount Vernon, OH 43050-3301

Mailing address

14812 McKenzie Rd
Mount Vernon, OH 43050-9725
Phone (740) 326-6060

Other practice location 1

14812 McKenzie Rd
Mount Vernon, OH 43050-9725
Phone (740) 326-6060

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://obm.ohio.gov Health Information Exchange (HIE)

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.411494OHMDRegistered Nurse
RN411494OHMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1426291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576972800000",
    "number": "1205229291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14812 MCKENZIE RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430509725",
            "telephone_number": "740-326-6060",
            "fax_number": "740-326-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W GAMBIER ST STE 201",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430503301",
            "telephone_number": "740-326-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14812 McKenzie Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "OH",
            "postal_code": "430509725",
            "country_code": "US",
            "telephone_number": "740-326-6060",
            "fax_number": "740-326-6060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "WENDY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-14",
        "last_updated": "2019-12-22",
        "certification_date": "2019-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RN411494",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.411494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://obm.ohio.gov",
            "affiliation": "N",
            "endpointDescription": "State of Ohio Supplier of services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14812 McKenzie Rd",
            "city": "Mount Vernon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430509725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.