Individual provider Active NPI

Tricia Richardson, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1508296609
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008285 Issued in KY
Practice address
6610 Bardstown Rd
Louisville, KY 40291-3045
Phone
(502) 233-8048
Fax
(502) 373-1288
NPI assigned
Nov 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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 3008285 KY Primary

Addresses

Primary practice location

6610 Bardstown Rd
Louisville, KY 40291-3045

Mailing address

6610 Bardstown Rd
Louisville, KY 40291-3045
Phone (502) 233-8048

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
I20151117002680 KY Practitioner - Nurse Practitioner 2365752649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Louisville Family Care PLLCGroup PAC ID 0345661732, 2 clinicians

Practice addresses (Care Compare)

6610 Bardstown Rd
Louisville, KY 40291-3045
Phone (502) 233-8048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3008285KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Louisville Family Care, PLLC CurrentSince Nov 10, 2019 Accepting new patients
Convenient Care Family Medical Past Accepting new patients

Locations

6610 Bardstown Rd
Louisville, KY 40291
Phone (502) 233-8048

Interoperability endpoints

  • Direct secure messaging: tricia.richardson@115443077021700.direct.elationemr.com

Organizations & group practices 2

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": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1508296609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402913045",
            "telephone_number": "502-233-8048",
            "fax_number": "502-373-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6610 BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402913045",
            "telephone_number": "502-233-8048",
            "fax_number": "502-373-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "TRICIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-26",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.