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Individual provider Active NPI

Jean L. Richardson, ARNP

  • Acute Care Nurse Practitioner
  • Plymouth, NH
National Provider Identifier
1437238458
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
041144-23-12 Issued in NH
Practice address
Speare Memorial Hospital, 16 Hospital Road
Emergency Medicine Department
Plymouth, NH 03264
Phone
(603) 536-1120
NPI assigned
Nov 2, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 041144-23-12 NH Primary

Addresses

Primary practice location

Speare Memorial Hospital, 16 Hospital Road
Emergency Medicine Department
Plymouth, NH 03264

Mailing address

Speare Memorial Hospital, 16 Hospital Road
Emergency Medicine Department
Plymouth, NH 03264

Other identifiers 2

IdentifierTypeStateIssuer
041144-21OtherNHNH RN LICENSE
041144-23-12OtherNHNH ARNP LICENSE

Other names 1

  • Jean L. Robertson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050414001300 NH Practitioner - Nurse Practitioner 4183661697 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Speare Health Ventures IncGroup PAC ID 4789901950, 18 clinicians

Practice addresses (Care Compare)

389 Tenney Mountain Hwy
Plymouth, NH 03264-3724
Phone (603) 481-8787

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Speare Memorial Hospital CurrentSince Aug 22, 2012 Accepting new patients
Speare Memorial Hospital CurrentSince Aug 22, 2012 Accepting new patients
Speare Memorial Hospital CurrentSince Oct 12, 2025 Accepting new patients
Speare Health Ventures Inc CurrentSince Jul 1, 2017 Accepting new patients
Speare Health Ventures, Inc. CurrentSince Jul 1, 2017 Accepting new patients
Memorial Southwest Emergency Physicians, LLP Past Accepting new patients

Locations

16 Hospital Rd
Plymouth, NH 03264
Phone (603) 238-2229

389 Tenney Mountain Hwy
Plymouth, NH 03264
Phone (603) 481-8787

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1437238458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SPEARE MEMORIAL HOSPITAL, 16 HOSPITAL ROAD",
            "address_2": "EMERGENCY MEDICINE DEPARTMENT",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "03264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SPEARE MEMORIAL HOSPITAL, 16 HOSPITAL ROAD",
            "address_2": "EMERGENCY MEDICINE DEPARTMENT",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "03264",
            "telephone_number": "603-536-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "JEAN",
        "middle_name": "L.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NH",
            "license": "041144-23-12",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH RN LICENSE",
            "identifier": "041144-21",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH ARNP LICENSE",
            "identifier": "041144-23-12",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "ROBERTSON",
            "middle_name": "L.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plymouth, NH

Sources for this page

Verify at the official NPI Registry.