Jeanise Richards, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

372604 Issued in NY

Practice address

6 Heritage LN
Ballston Spa, NY 12020-2715

Phone

(518) 884-2670

NPI assigned

May 8, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1386857068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HERITAGE LN",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120202715",
            "telephone_number": "518-884-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HERITAGE LN",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120202715",
            "telephone_number": "518-884-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "JEANISE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "372604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "372604",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcus Joseph Raffuel, DDS
• Alyssa Raine, LMSW
• Taylor Rashkow, LMHC
• James Reynolds
• Cynthia Ricciuti, RD CDN
• Trisha Ann Richardson-Verdile, M.S., CCC-SLP
• Ariel Nicole Rock, LMHC
• Vanessa Rose
• Kim Rowland, L-SLP
• Michael Rowland

• Home Health Registered Nurse in Ballston Spa, NY
• Providers in Ballston Spa, NY by specialty
• Home Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.