Individual provider Active NPI

Jan Marie Richards, HIS

  • Hearing Instrument Specialist
  • Dickinson, ND
National Provider Identifier
1306095187
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
H-0313 Issued in ND
Practice address
925 W Villard St
Dickinson, ND 58601-4843
Phone
(701) 227-4403
Fax
(701) 483-4405
NPI assigned
Sep 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiology Assistant 2355A2700X 200448 CO
Hearing Instrument Specialist 237700000X 200448 CO
Hearing Instrument Specialist 237700000X H-0313 ND Primary

Addresses

Primary practice location

925 W Villard St
Dickinson, ND 58601-4843

Mailing address

925 W Villard St
Dickinson, ND 58601-4843
Phone (701) 227-4403

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
200448COMDAudiology Assistant
H-0313NDMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Willmar Hearing Aid Center Hearing Instrument Specialist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1306095187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 W VILLARD ST",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586014843",
            "telephone_number": "701-227-4403",
            "fax_number": "701-483-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 W VILLARD ST",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586014843",
            "telephone_number": "701-227-4403",
            "fax_number": "701-483-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "JAN",
        "middle_name": "MARIE",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355A2700X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Audiology Assistant",
            "state": "CO",
            "license": "200448",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CO",
            "license": "200448",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "ND",
            "license": "H-0313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.