Active NPI
Brandie Richards, NP
- Family Nurse Practitioner
- Yucaipa, CA
National Provider Identifier
1487025177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95003155
- Practice address
- 33494 Oak Glen Rd
Yucaipa, CA 92399-2057 - Phone
- (909) 881-4335
- NPI assigned
- Oct 7, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95003155 | CA | Primary |
Addresses
Primary practice location
33494 Oak Glen Rd
Yucaipa, CA 92399-2057
Mailing address
33494 Oak Glen Rd
Yucaipa, CA 92399-2057
Phone (909) 881-4335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Emergency Medicine | Current | Accepting new patients | |
| Beaver Medical Group P C | Current | Accepting new patients | |
| Southern California Emergency Medicine | Current | Accepting new patients | |
| Beaver Medical Group P C | Current | Accepting new patients |
Locations
1407 Foothill Blvd
La Verne, CA 91750
Phone (909) 596-3577
1295 Hamner Ave
Ste C
Norco, CA 92860
Phone (951) 272-6500
2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137
33494 Oak Glen Rd
Yucaipa, CA 92399
Phone (909) 797-8900
Interoperability endpoints
- brichards19407@epiclp.direct-ci.com
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.
-
- Family Medicine Physician
- Redlands, CA
- NPI 1649503319
-
- Urgent Care Clinic/Center
- San Bernardino, CA
- NPI 1639314255
-
- Physical Therapist
- Redlands, CA
- NPI 1427090281
-
- Urgent Care Clinic/Center
- Riverside, CA
- NPI 1063191575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444176000000",
"number": "1487025177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33494 OAK GLEN RD",
"city": "YUCAIPA",
"state": "CA",
"postal_code": "923992057",
"telephone_number": "909-881-4335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33494 OAK GLEN RD",
"city": "YUCAIPA",
"state": "CA",
"postal_code": "923992057",
"telephone_number": "909-881-4335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "BRANDIE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-07",
"last_updated": "2015-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95003155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yucaipa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.