Nexus Nishae Richardson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

A15415 Issued in OR

Practice address

1550 NW Eastman Pkwy Ste 175
Gresham, OR 97030-3859

Phone

(503) 610-3853

NPI assigned

Jul 30, 2024

Last updated

Jul 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1265261184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 NW EASTMAN PKWY STE 175",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 NW EASTMAN PKWY STE 175",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303859",
            "telephone_number": "503-610-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "NEXUS",
        "middle_name": "NISHAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A15415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Rice, RDH
• Lori Janeen Rich, THW000003028
• Richard S Polin PC
• Joshua Richardson, MT
• Matthew Crawford Richardson
• Ah-Mirah Denise Lucille Richmond, M.A.
• Erik Manuel Richmond, DMD
• Kirsten Richter, LMT
• Laurie Anne Ricken, B.A.
• David Stuart Rief, DC

• Clinical Social Worker in Gresham, OR
• Providers in Gresham, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.