Active NPI
Jamie Linnea Richardson, FNP
- Family Nurse Practitioner
- Apache Junction, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 250091
- Practice address
- 105 S Delaware Dr
Apache Junction, AZ 85120-6511 - Phone
- (480) 646-1001
- NPI assigned
- Nov 17, 2020
- Last updated
- Nov 17, 2020
- 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 | 250091 | AZ | Primary |
Addresses
Primary practice location
105 S Delaware Dr
Apache Junction, AZ 85120-6511
Mailing address
105 S Delaware Dr
Ste 2
Apache Junction, AZ 85120-6512
Phone (480) 646-1001
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Jrichardson@suncrestcare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 250091 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group Arizona LLC | Current | Accepting new patients | |
| Leading Healthcare Clinic of Goodyear LLC | Family | Current | Accepting new patients |
| Leading Healthcare, LLC | Past | Accepting new patients | |
| Total Health Clinic LLC | Past | Accepting new patients |
Locations
2440 S Ironwood Dr
Ste B
Apache Junction, AZ 85120
5620 W Thunderbird Rd
Ste C1
Glendale, AZ 85306
Phone (602) 843-1317
13555 W McDowell Rd
Ste 205
Goodyear, AZ 85395
Phone (623) 535-0740
14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599
3624 N Power Rd
Mesa, AZ 85215
Phone (480) 924-3797
8035 E Brown Rd
Mesa, AZ 85207
Phone (480) 686-8540
9230 E Main St
Mesa, AZ 85207
Phone (480) 380-0087
13203 N 103rd Ave
Ste I5
Sun City, AZ 85351
Interoperability endpoints
- jamie.richardson.1@19654.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Goodyear, AZ
- NPI 1902448566
Family
-
- Family Medicine Physician
- Glendale, AZ
- NPI 1053810622
-
- Hospitalist Physician
- Sun City, AZ
- NPI 1356853691
-
- Primary Care Clinic/Center
- Apache Junction, AZ
- NPI 1851906515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1487257093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 S DELAWARE DR",
"address_2": "STE 2",
"city": "APACHE JUNCTION",
"state": "AZ",
"postal_code": "851206512",
"telephone_number": "480-646-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 S DELAWARE DR",
"city": "APACHE JUNCTION",
"state": "AZ",
"postal_code": "851206511",
"telephone_number": "480-646-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "JAMIE",
"middle_name": "LINNEA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-17",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "250091",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Jrichardson@suncrestcare.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4650 E Cotton Center Blvd Ste 250",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850404806",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Apache Junction, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.