Caitlyn Richardson, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN2301446 Issued in MA

Practice address

1000 Western Ave
Lynn, MA 01910-5927

Phone

(781) 594-2218

NPI assigned

Mar 18, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Caitlyn Larvey Former name

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Lynn Urgent Care LLCGroup PAC ID 1951732825, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: caitlyn.richardson.1@29271.direct.athenahealth.com

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.

• Lynn Urgent Care LLC

  • Urgent Care Clinic/Center
  • Lynn, MA
  • NPI 1992342075
  Medicare reassignment Care Compare group NPD
• Carbon Health Medical Group of Massachusetts PC

  • Multi-Specialty Clinic/Center
  • Boston, MA
  • NPI 1528836897
  Medicare reassignment NPD
• CVS Clinic PLLC

  • Family Nurse Practitioner
  • Swampscott, MA
  • NPI 1306623426
  Medicare reassignment

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1285260638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WESTERN AVE",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019100001",
            "telephone_number": "781-594-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WESTERN AVE",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019105927",
            "telephone_number": "781-594-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "CAITLYN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2301446",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2301446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE NUMBER",
            "identifier": "RN2301446",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLYN",
            "last_name": "LARVEY",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adarliza M Reynoso I
• Daria Rezaeva
• Jason Ri
• Christopher Edmund Richard, M.ED
• Rebecca L Richard, MS, RD, LDN
• Martin Daniel Richardson III
• Joy Richmond-Smith, LICSW
• Taylor Richter
• Myra Rico, APRN
• Ride on Time Inc

• Nurse Practitioner in Lynn, MA
• Providers in Lynn, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.