Michelle Dawn Richards, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

17427 Issued in NE

Practice address

2201 N Broadwell Ave
Grand Island, NE 68803-2153

Phone

(308) 382-3660

Fax

(308) 385-2790

NPI assigned

Sep 4, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Dawn Gustafson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1487802294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N 7TH ST",
            "city": "LOUP CITY",
            "state": "NE",
            "postal_code": "688538074",
            "telephone_number": "308-382-3660",
            "fax_number": "308-385-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 N BROADWELL AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688032153",
            "telephone_number": "308-382-3660",
            "fax_number": "308-385-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "MICHELLE",
        "middle_name": "DAWN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NE",
            "license": "17427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "GUSTAFSON",
            "middle_name": "DAWN",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Irene Rhoads, RN
• Yoenia Ricardo Bordallo
• Faith Rice
• Kathy Lynne Rice
• Desiree Richards
• Marisa Richardson
• Douglas Werner Richling, PHARMD
• Rick Huls LLC (Rick Huls LIMHP)
• Wendy Renee Rickard, D.P.T
• Mindy L. Rief, D.D.S.

• Licensed Practical Nurse in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Licensed Practical Nurse in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.