Individual provider Active NPI

Jacob Allen Richards

  • Other Technician
  • Morgantown, WV
National Provider Identifier
1386563724
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Practice address
301 Scott Ave
Morgantown, WV 26508-8804
Phone
(304) 296-1731
Fax
(304) 225-2288
NPI assigned
Jul 10, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X WV Primary

Addresses

Primary practice location

301 Scott Ave
Morgantown, WV 26508-8804

Mailing address

301 Scott Ave
Morgantown, WV 26508-8804
Phone (304) 296-1731

Other practice location 1

202 Tunnelton St
Kingwood, WV 26537-1452
Phone (304) 296-1731 ext. 4082

Other practice location 2

100 Crosswind Dr
Pleasant Valley, WV 26554-9162
Phone (304) 296-1731 ext. 4082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1783641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1386563724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SCOTT AVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265088804",
            "telephone_number": "304-296-1731",
            "fax_number": "304-225-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SCOTT AVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265088804",
            "telephone_number": "304-296-1731",
            "fax_number": "304-225-2288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 Tunnelton St",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "WV",
            "postal_code": "265371452",
            "country_code": "US",
            "telephone_number": "304-296-1731 x4082",
            "fax_number": "304-225-2288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Crosswind Dr",
            "address_purpose": "LOCATION",
            "city": "Pleasant Valley",
            "state": "WV",
            "postal_code": "265549162",
            "country_code": "US",
            "telephone_number": "304-296-1731 x4082",
            "fax_number": "304-225-2288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "JACOB",
        "middle_name": "ALLEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-10",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.