Individual provider Active NPI

Autumn Zea Richardson, APRN

  • Family Nurse Practitioner
  • Somerset, KY
National Provider Identifier
1467795690
Registry record updated Apr 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3007999 Issued in KY
Practice address
350 Hospital Way
Somerset, KY 42503-2872
Phone
(606) 451-2600
NPI assigned
Apr 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2013

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 3007999 KY Primary

Addresses

Primary practice location

350 Hospital Way
Somerset, KY 42503-2872

Mailing address

941 Elihu Rush Branch Rd
Somerset, KY 42501-5811
Phone (606) 416-8487

Other identifiers 1

IdentifierTypeStateIssuer
3007999OtherKY3007999 KBN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20130618000102 KY Practitioner - Nurse Practitioner 1759520042 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Care of Somerset CorpGroup PAC ID 5294902433, 4 clinicians

Practice addresses (Care Compare)

402 Bogle St
Suite 2
Somerset, KY 42503-2870
Phone (606) 451-3145

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Phoenix, AZ, CCN 037037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Regional Hospital LLC Family Current Accepting new patients
Lake Cumberland Regional Hospital LLC CurrentSince May 4, 2013 Accepting new patients
Womens Care of Somerset Corp CurrentSince Jan 1, 2024 Accepting new patients
Lake Cumberland Regional Hospital, LLC Family CurrentSince May 4, 2013 Accepting new patients

Locations

402 Bogle St
Ste 2
Somerset, KY 42503
Phone (606) 451-3145

353 Bogle St
Ste A
Somerset, KY 42503
Phone (606) 451-3820

350 Hospital Way
Somerset, KY 42503
Phone (606) 451-2600

350 Hospital Way
Ste 100
Somerset, KY 42503
Phone (606) 451-2600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21269/brand/3/csg/1/fhir/r4

Organizations & group practices 4

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": "1365206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365206400000",
    "number": "1467795690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 ELIHU RUSH BRANCH RD",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425015811",
            "telephone_number": "606-416-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HOSPITAL WAY",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032872",
            "telephone_number": "606-451-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "AUTUMN",
        "middle_name": "ZEA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-06",
        "last_updated": "2013-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "3007999 KBN",
            "identifier": "3007999",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.