Individual provider Active NPI

Whitney Laree Richards, FNP-C

  • Family Nurse Practitioner
  • Denison, TX
National Provider Identifier
1285036665
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP126439 Issued in TX
Practice address
5012 S US Highway 75
Suite 250
Denison, TX 75020-4587
Phone
(903) 416-6430
Fax
(903) 416-6431
NPI assigned
Sep 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP126439 TX Primary

Addresses

Primary practice location

5012 S US Highway 75
Suite 250
Denison, TX 75020-4587

Mailing address

5012 S US Highway 75 Ste 300
Att: Billing
Denison, TX 75020-4589
Phone (903) 416-6430

Other identifiers 3

IdentifierTypeStateIssuer
200651550AMedicaidOK
8280NYOtherTXBCBS OF TX
342423602MedicaidTX

Other names 1

  • Miss Whitney Laree Ponder Former name

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
I20150107000069 TX Practitioner - Nurse Practitioner 0345563904 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TexomacareGroup PAC ID 3678555307, 47 clinicians

Practice addresses (Care Compare)

5012 S US Hwy 75
Suite 250
Denison, TX 75020-4587
Phone (903) 416-6430

Hospital & facility affiliations

  • Texoma Medical Center Hospital, Denison, TX, CCN 450324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Current Accepting new patients
Healthtexas Provider Network CurrentSince Dec 8, 2014 Accepting new patients
Texomacare Family CurrentSince Sep 19, 2016 Accepting new patients
Healthtexas Provider Network CurrentSince Dec 8, 2014 Accepting new patients
Texomacare Family CurrentSince Sep 19, 2016 Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

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

5012 S US Highway 75
Ste 250
Denison, TX 75020
Phone (903) 416-6255

5012 US Highway 75
Denison, TX 75020
Phone (903) 416-1726

5012 US Highway 75
Ste 100
Denison, TX 75020
Phone (903) 416-6325

5012 US Highway 75
Ste 300
Denison, TX 75020
Phone (903) 416-6025

Interoperability endpoints

  • Direct secure messaging: whitney.richards@tc.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1285036665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75 STE 300",
            "address_2": "ATT: BILLING",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204589",
            "telephone_number": "903-416-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75",
            "address_2": "SUITE 250",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204587",
            "telephone_number": "903-416-6430",
            "fax_number": "903-416-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "WHITNEY",
        "middle_name": "LAREE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200651550A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "8280NY",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "342423602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "PONDER",
            "middle_name": "LAREE",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.