Individual provider Active NPI

Allana Kay Richmond, APRN

  • Family Nurse Practitioner
  • Howell, MI
National Provider Identifier
1538113246
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704189080 Issued in MI
Practice address
755 McPherson Park Dr
Howell, MI 48843-1933
Phone
(517) 545-2609
Fax
(517) 545-2607
NPI assigned
May 19, 2006
Last updated
May 22, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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 4704189080 MI Primary

Addresses

Primary practice location

755 McPherson Park Dr
Howell, MI 48843-1933

Mailing address

5965 S Mohawk Ave
Ypsilanti, MI 48197-6724
Phone (734) 417-5192

Other identifiers 1

IdentifierTypeStateIssuer
4786665MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20130626000277 MI Order and Referring Only - Nurse Practitioner 9032119003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704189080MIMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1538113246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5965 S MOHAWK AVE",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481976724",
            "telephone_number": "734-417-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MCPHERSON PARK DR",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488431933",
            "telephone_number": "517-545-2609",
            "fax_number": "517-545-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "ALLANA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704189080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4786665",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

Verify at the official NPI Registry.