Individual provider Active NPI

Deana Carol Richards, FNP-BC

  • Family Nurse Practitioner
  • Huntington, WV
National Provider Identifier
1376031070
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
50674 Issued in WV
Practice address
1230 6TH Ave
Huntington, WV 25701-2312
Phone
(304) 526-9111
NPI assigned
Apr 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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 50674 WV Primary

Addresses

Primary practice location

1230 6TH Ave
Huntington, WV 25701-2312

Mailing address

70 Pine Hill Dr
Poca, WV 25159-7554
Phone (304) 542-0996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20180905000734 WV Practitioner - Nurse Practitioner 8921358466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HHC River Park Inc.Group PAC ID 2365478252, 5 clinicians

Practice addresses (Care Compare)

1230 6TH Ave
Huntington, WV 25701-2312
Phone (304) 526-9100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50674WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HHC River Park, Inc. CurrentSince Jun 12, 2018 Accepting new patients
HHC River Park, Inc. CurrentSince Jun 12, 2018 Accepting new patients

Locations

1230 6th Ave
Huntington, WV 25701
Phone (304) 526-9100

Organizations & group practices 2

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": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1376031070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 PINE HILL DR",
            "city": "POCA",
            "state": "WV",
            "postal_code": "251597554",
            "telephone_number": "304-542-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 6TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012312",
            "telephone_number": "304-526-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "DEANA",
        "middle_name": "CAROL",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "50674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.