Individual provider Active NPI

Lesley Nicole Richard, MBA, MNA, CRNA

  • Certified Registered Nurse Anesthetist
  • Columbia, SC
National Provider Identifier
1346816204
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26136 Issued in SC
Practice address
1910 Blanding St
Columbia, SC 29201-3520
Phone
(803) 256-4107
NPI assigned
Jun 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 243523 SC
Certified Registered Nurse Anesthetist 367500000X 26136 SC Primary

Addresses

Primary practice location

1910 Blanding St
Columbia, SC 29201-3520

Mailing address

1429 Tamarind LN
Chapin, SC 29036-6324
Phone (386) 288-4529

Other practice location 1

5 Richland Medical Park Dr
Columbia, SC 29203-6863
Phone (803) 464-7000

Other practice location 2

420 W Wesmark Blvd
Sumter, SC 29150-1983
Phone (803) 905-5590

Other practice location 3

7 Independence Pt Ste 300
Greenville, SC 29615-4569
Phone (864) 522-3700

Other identifiers 1

IdentifierTypeStateIssuer
AN3702MedicaidSC

Other names 1

  • Lesley Nicole Richard Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL lesley.richard@uscmed.sc.edu Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220725002327 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971984790 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beach Anesthesia, LLCGroup PAC ID 6103924014, 91 clinicians

Practice addresses (Care Compare)

109 Blarney Dr
Columbia, SC 29223-6244
Phone (803) 865-8200

7 Independence PT
Suite 300
Greenville, SC 29615-4569
Phone (864) 522-3700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
243523SCMDRegistered Nurse
26136SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Aug 11, 2022 Accepting new patients
Prisma Health University Medical Group CurrentSince May 15, 2023 Accepting new patients
Musc Community Physicians CurrentSince Aug 11, 2022 Accepting new patients
Beach Anesthesia, LLC CurrentSince Jun 15, 2022 Accepting new patients
Amsurg Columbia Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 31, 2024 Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
Prisma Health University Medical Group CurrentSince May 15, 2023 Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

5 Richland Medical Park Dr
Columbia, SC 29203
Phone (803) 434-2168

2739 Laurel St
Ste 1B
Columbia, SC 29204
Phone (803) 254-9588

109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200

2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859

7 Independence Pt
Ste 300
Greenville, SC 29615
Phone (864) 522-3700

67 Creekside Park Ct
Greenville, SC 29615
Phone (864) 242-4602

420 W Wesmark Blvd
Sumter, SC 29150
Phone (803) 469-4402

Organizations & group practices 7

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1346816204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 TAMARIND LN",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290366324",
            "telephone_number": "386-288-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 BLANDING ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013520",
            "telephone_number": "803-256-4107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Richland Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036863",
            "country_code": "US",
            "telephone_number": "803-464-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 W Wesmark Blvd",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291501983",
            "country_code": "US",
            "telephone_number": "803-905-5590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Independence Pt Ste 300",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296154569",
            "country_code": "US",
            "telephone_number": "864-522-3700",
            "fax_number": "864-522-3705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "LESLEY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MBA, MNA, CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "243523",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "26136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN3702",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lesley.richard@uscmed.sc.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5 Richland Medical Park Dr",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292036863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LESLEY",
            "last_name": "RICHARD",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.