Mary Nelle Richardson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

115266 Issued in NE

Practice address

2400 N Lincoln Ave
Fremont, NE 68025-2457

Phone

(402) 727-5396

NPI assigned

Mar 20, 2024

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

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EEIECA/Endpoint/EEIECA

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.

• Good Neighbor Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Fremont, NE
  • NPI 1902287261
  NPD
• Three Rivers Public Health Department

  • Public Health or Welfare Agency
  • Fremont, NE
  • NPI 1710041124
  NPD

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1356101968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N LINCOLN AVE",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252457",
            "telephone_number": "402-727-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N LINCOLN AVE",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252457",
            "telephone_number": "402-727-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "MARY",
        "middle_name": "NELLE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "115266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Rezac
• Elise Richard
• Patricia Christine Richards Meader
• Heather Richards
• Kirsten Richardson
• Andrea Marie Ridder
• Brant Ridder
• Starla Mary Rief
• Amber Danielle Rieken, MOT
• Riggins & Associates Counseling Services Inc

• Family Nurse Practitioner in Fremont, NE
• Providers in Fremont, NE by specialty
• Family Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.