Individual provider Active NPI

Kristie L Richmond, FNP-BC

  • Family Nurse Practitioner
  • Knightdale, NC
National Provider Identifier
1467854828
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5009748 Issued in NC
Practice address
302 Knollcrest LN
Knightdale, NC 27545-6715
Phone
(919) 213-1403
Fax
(919) 277-0353
NPI assigned
Sep 17, 2014
Last updated
Apr 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5009748 NC
Family Nurse Practitioner 363LF0000X 5009748 NC Primary

Addresses

Primary practice location

302 Knollcrest LN
Knightdale, NC 27545-6715

Mailing address

302 Knollcrest LN
Knightdale, NC 27545-6715
Phone (919) 213-1403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20171019000538 NC Practitioner - Nurse Practitioner 9931321437 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians

Practice addresses (Care Compare)

1501 N Bickett Blvd
Louisburg, NC 27549-2178
Phone (919) 497-8414

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5009748NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
One Purpose Health Services, PLLC Family CurrentSince May 4, 2025 Accepting new patients
Longevity Clinical LTC Associates of North Carolina PLLC CurrentSince Jan 17, 2026 Accepting new patients
DLP Maria Parham Physician Practices, LLC CurrentSince Aug 2, 2021 Accepting new patients
Longevity Accountable Care, PA CurrentSince Feb 10, 2026 Accepting new patients
DLP Maria Parham Physician Practices LLC CurrentSince Aug 2, 2021 Accepting new patients
Vision Behavioral Health Services CurrentSince Jun 5, 2021 Accepting new patients
Carolina Partners in Mental PastSince Aug 19, 2017 Accepting new patients

Locations

300 Providence Rd
Charlotte, NC 28207
Phone (704) 334-1671

120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773

100 Hospital Dr
Louisburg, NC 27549
Phone (252) 438-4143

104 N Main St
#200
Louisburg, NC 27549
Phone (919) 496-7781

1501 N Bickett Blvd
Ste E
Louisburg, NC 27549
Phone (919) 497-0445

635 Statesville Blvd
Salisbury, NC 28144
Phone (704) 633-7390

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1467854828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 KNOLLCREST LN",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456715",
            "telephone_number": "919-213-1403",
            "fax_number": "919-277-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 KNOLLCREST LN",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456715",
            "telephone_number": "919-213-1403",
            "fax_number": "919-277-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "KRISTIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5009748",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

Verify at the official NPI Registry.