Individual provider Active NPI

Donna J Richards, CNM

  • Inpatient Obstetric Registered Nurse
  • Plantation, FL
National Provider Identifier
1285966168
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Inpatient Obstetric Registered NurseTaxonomy code 163WX0003X
License
ARNP1804772 Issued in FL
Practice address
4101 NW 4TH St
Suite 306
Plantation, FL 33317-2850
Phone
(954) 522-2979
Fax
(954) 903-0633
NPI assigned
Feb 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Inpatient Obstetric Registered Nurse 163WX0003X ARNP1804772 FL Primary
Advanced Practice Midwife 367A00000X ARNP1804772 FL

Addresses

Primary practice location

4101 NW 4TH St
Suite 306
Plantation, FL 33317-2850

Mailing address

4101 NW 4TH St
Suite 306
Plantation, FL 33317-2850
Phone (954) 522-2979

Other identifiers 1

IdentifierTypeStateIssuer
340169300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180226001251 FL Practitioner - Certified Nurse Midwife (CNM) 5698906154 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
ARNP1804772FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Sunlife OB-GYN Services of Ft Lauderdale PA CurrentSince Aug 8, 2017 Accepting new patients
Sunlife OBGYN Services of South Florida, LLC PastSince Aug 8, 2017 Accepting new patients

Locations

4101 NW 4th St
Ste 306
Plantation, FL 33317
Phone (954) 522-2979

Interoperability endpoints

  • Direct secure messaging: donna.richards@sunlifeobgyn.directbygreenway.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265328000000",
    "number": "1285966168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 NW 4TH ST",
            "address_2": "SUITE 306",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172850",
            "telephone_number": "954-522-2979",
            "fax_number": "954-903-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 NW 4TH ST",
            "address_2": "SUITE 306",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172850",
            "telephone_number": "954-522-2979",
            "fax_number": "954-903-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "DONNA",
        "middle_name": "J",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "FL",
            "license": "ARNP1804772",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP1804772",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340169300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.