Individual provider Active NPI

Stephanie Lynch Richards, PA-C

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1245608330
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12230 Issued in TX
Practice address
4161 McKinney Ave Ste 300
Dallas, TX 75204-8233
Phone
(214) 219-6655
NPI assigned
Sep 8, 2015
Last updated
Mar 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA12230 TX Primary

Addresses

Primary practice location

4161 McKinney Ave Ste 300
Dallas, TX 75204-8233

Mailing address

4161 McKinney Ave Ste 300
Dallas, TX 75204-8233

Other names 1

  • Stephanie Michelle Lynch Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address srichards425809@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20181024001380 TX Practitioner - Physician Assistant 2264741636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

4001 Worth St
Dallas, TX 75246-1608

4161 McKinney Ave
Suite 300
Dallas, TX 75204-8233
Phone (214) 219-6655

5800 E Lovers LN
Dallas, TX 75206-2901
Phone (972) 817-6260

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
008453GAMDPhysical Therapist
PA12230TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Oct 8, 2018 Accepting new patients
Healthtexas Provider Network CurrentSince Oct 8, 2018 Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

4161 McKinney Ave
Ste 300
Dallas, TX 75204
Phone (214) 219-6655

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (469) 800-8648

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1245608330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 MCKINNEY AVE STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752048233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 MCKINNEY AVE STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752048233",
            "telephone_number": "214-219-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "STEPHANIE",
        "middle_name": "LYNCH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "srichards425809@direct.sw.org",
            "affiliation": "N",
            "address_1": "4161 McKinney Ave Ste 300",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752048233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "LYNCH",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.