Individual provider Active NPI

Clarrissa E Richardson, MSN, FNP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1346296563
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN0000115270 Issued in TN
Practice address
1335 Winfield Rd
Memphis, TN 38116-8940
Phone
(901) 949-0477
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN0000115270 TN Primary

Addresses

Primary practice location

1335 Winfield Rd
Memphis, TN 38116-8940

Mailing address

1335 Winfield Rd
Memphis, TN 38116-8940
Phone (901) 949-0477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20060317000058 TN Practitioner - Nurse Practitioner 8325055270 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11806TNMDPhysical Therapist
RN0000115270TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multiviz Medical Services PC CurrentSince Jan 1, 2024 Accepting new patients

Locations

529 Beach 20th St
Ste 1
Far Rockaway, NY 11691
Phone (718) 327-4503

329 Murfreesboro Pike
Nashville, TN 37210
Phone (615) 244-6900

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346296563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 WINFIELD RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381168940",
            "telephone_number": "901-949-0477",
            "fax_number": "901-273-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 WINFIELD RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381168940",
            "telephone_number": "901-949-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "CLARRISSA",
        "middle_name": "E",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "RN0000115270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.