Active NPI
Melinda Kay Richards, APRN
- Nurse Practitioner
- Louisville, KY
National Provider Identifier
1275892473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3007430
- Practice address
- 200 Abraham Flexner Way
Louisville, KY 40202-2877 - Phone
- (502) 852-5689
- NPI assigned
- May 8, 2012
- Last updated
- Feb 3, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3007430 | KY | Primary |
Addresses
Primary practice location
200 Abraham Flexner Way
Louisville, KY 40202-2877
Mailing address
PO Box 909
Louisville, KY 40201-0909
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201114150 | Medicaid | IN | |
| 50043898 | Other | KY | PASSPORT |
| 000000794625 | Other | KY | ANTHEM BC/BS |
| 7100217570 | Medicaid | KY |
Other names 1
- Mrs. Melinda Kay Decker
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1275892473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 909",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402010909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 ABRAHAM FLEXNER WAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402022877",
"telephone_number": "502-852-5689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "MELINDA",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-08",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3007430",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201114150",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50043898",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000794625",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100217570",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELINDA",
"last_name": "DECKER",
"middle_name": "KAY",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.