Individual provider Active NPI

Gregory Paul Richards, ARNP

  • General Practice Registered Nurse
  • Clearwater, FL
National Provider Identifier
1518096544
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
ARNP166052 Issued in FL
Practice address
4707 140TH Ave N
Ste 107
Clearwater, FL 33762-3834
Phone
(727) 524-7760
Fax
(727) 524-7761
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X ARNP166052 FL Primary

Addresses

Primary practice location

4707 140TH Ave N
Ste 107
Clearwater, FL 33762-3834

Mailing address

4707 140TH Ave N
Ste 107
Clearwater, FL 33762-3834
Phone (727) 524-7760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP166052FLMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Careservices of Central Florida LLC Past Accepting new patients
Medx Diagnostic Service Past Accepting new patients
Mobile Medical Industries Inc Past Accepting new patients

Organizations & group practices 3

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518096544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 140TH AVE N",
            "address_2": "STE 107",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623834",
            "telephone_number": "727-524-7760",
            "fax_number": "727-524-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 140TH AVE N",
            "address_2": "STE 107",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623834",
            "telephone_number": "727-524-7760",
            "fax_number": "727-524-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "GREGORY",
        "middle_name": "PAUL",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "ARNP166052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.