Active NPI
Clarrissa E Richardson, MSN, FNP
- Family Nurse Practitioner
- Memphis, TN
National Provider Identifier
1346296563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN0000115270
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11806 | TN | MD | Physical Therapist |
| RN0000115270 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multiviz Medical Services PC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.