David Waylon Richardson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5004418 Issued in NC

Practice address

2032 S 17TH St
Suite 101
Wilmington, NC 28401-6678

Phone

(910) 763-3738

Fax

(910) 763-0454

NPI assigned

Jul 14, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Nurse Practitioner

Education

University of North Carolina at Chapel Hill School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Internal Medicine, P.a.Group PAC ID 9133181886, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Well Care Home Health Home health agency, Wilmington, NC, CCN 347002
• Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.richardson@coastalinternalmedicine.eclinicaldirectplus.com
• Direct secure messaging: drichardson1250934@direct.novanthealth.org
• FHIR API: https://fhir4.healow.com/fhir/r4/BDCCCD

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.

• Coastal Internal Medicine, P.a.

  • Internal Medicine Physician
  • Wilmington, NC
  • NPI 1437146800
  Medicare reassignment Care Compare group NPD

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

• Novant Health New Hanover Regional Medical Center LLC

  • General Acute Care Hospital
  • Wilmington, NC
  • NPI 1376139139
  Care Compare affiliation
• Well Care Home Health, Inc

  • Home Health Agency
  • Wilmington, NC
  • NPI 1760470660
  Care Compare affiliation

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1356570188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 S 17TH ST",
            "address_2": "SUITE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016678",
            "telephone_number": "910-763-3738",
            "fax_number": "910-763-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 S 17TH ST",
            "address_2": "SUITE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016678",
            "telephone_number": "910-763-3738",
            "fax_number": "910-763-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "DAVID",
        "middle_name": "WAYLON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-14",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000566",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Richardet, DC
• Paige Caroline Richards, MA, LCMHCA
• William Warren Richards
• Amy Sizemore Richardson, LCSWA
• Cali Richardson
• Erica Richardson
• Gregory L Richardson, DDS MS
• Hannah Lynn Richardson
• Maryann Catherine Richardson, PMHNP
• Michelle Williams Richardson, FNP

• Family Nurse Practitioner in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.
• 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.