Mary J. Richardson, RN

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

153401 Issued in CA

Practice address

227 N Jackson Ave
San Jose, CA 95116-1603

Phone

(408) 871-3400

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• El Camino Health Medical Network, LLC

  • Multi-Specialty Clinic/Center
  • San Jose, CA
  • NPI 1164880761
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1326132515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 N JACKSON AVE STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161633",
            "telephone_number": "408-871-3400",
            "fax_number": "408-871-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N JACKSON AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161603",
            "telephone_number": "408-871-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2577 Samaritan Dr Ste 840",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951244115",
            "country_code": "US",
            "telephone_number": "408-871-3400",
            "fax_number": "408-871-5225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "MARY",
        "middle_name": "J.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "CA",
            "license": "153401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Frances Richardson-Rossbach
• Ian Matthew Richardson
• James Alan Richardson, CADC II, ICADC
• Jodi Dyer Richardson, MD
• Kristen Ashley Richardson
• Ian James Richey
• Anshu Richhariya, MS AND BCBA
• Jennifer Jian Richion, MA
• Barbara Richmond
• Joseph Nathanael Richmond

• Diabetes Educator Registered Nurse in San Jose, CA
• Providers in San Jose, CA by specialty
• Diabetes Educator Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.