Individual provider Active NPI

Adam Richardson, APRN

  • Family Nurse Practitioner
  • Panama City Beach, FL
National Provider Identifier
1285049577
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9393818 Issued in FL
Practice address
12234 Panama City Beach Pkwy
Ste C
Panama City Beach, FL 32407-2726
Phone
(850) 233-2323
Fax
(850) 233-1055
NPI assigned
Jun 25, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9393818 FL Primary
Family Nurse Practitioner 363LF0000X 1-125388 AL

Addresses

Primary practice location

12234 Panama City Beach Pkwy
Ste C
Panama City Beach, FL 32407-2726

Mailing address

12234 Panama City Beach Pkwy
Ste C
Panama City Beach, FL 32407-2726
Phone (850) 233-2323

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

State licenses

LicenseStateTypeSpecialty
1-125388ALMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1285049577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12234 PANAMA CITY BEACH PKWY",
            "address_2": "STE C",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324072726",
            "telephone_number": "850-233-2323",
            "fax_number": "850-233-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12234 PANAMA CITY BEACH PKWY",
            "address_2": "STE C",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324072726",
            "telephone_number": "850-233-2323",
            "fax_number": "850-233-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "ADAM",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-25",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9393818",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-125388",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.

Verify at the official NPI Registry.