Deidre Richardson, AGACNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

AP132743 Issued in TX

Practice address

1201 Fairmount Ave
Fort Worth, TX 76104-4215

Phone

(817) 335-5288

Fax

(817) 338-0927

NPI assigned

Jan 25, 2017

Last updated

Jun 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drichardson457073@direct.sw.org
• FHIR API: https://fhir4.healow.com/fhir/r4/BHHJCD

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.

• Arcy Healthcare, LLC

  dba Arcy Supportive Care

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Flower Mound, TX
  • NPI 1902434210
  NPD
• Healthtexas Provider Network

  dba Symmetry Anesthesia

  • Anesthesiology Physician
  • Lakeway, TX
  • NPI 1104714583
  NPD
• Healthtexas Provider Network

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1760488936
  NPD
• Tarrant Pulmonary Associates LLC

  • Pulmonary Disease Physician
  • Arlington, TX
  • NPI 1013625516
  NPD
• Arcy Healthcare, LLC

  dba Arcy Hospice

  • Community Based Hospice Care Agency
  • Flower Mound, TX
  • NPI 1740318435
  NPD (past)
• Texas Pulmonary & Critical Care Consultants, PA

  • Pulmonary Disease Physician
  • Dallas, TX
  • NPI 1871004473
  NPD (past)

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1538606751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 OMEGA DR STE 208",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142075",
            "telephone_number": "817-465-5881",
            "fax_number": "817-465-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 FAIRMOUNT AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044215",
            "telephone_number": "817-335-5288",
            "fax_number": "817-338-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "DEIDRE",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-25",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP132743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drichardson457073@direct.sw.org",
            "affiliation": "N",
            "address_1": "3600 Gaston Ave Ste 960",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752461909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richardson Dermatology, PLLC
• Abby Richardson, CRNA
• Amy Lynn Richardson, MD
• Ariel Richardson
• Carol Lacey Richardson, PHD
• Desi Rae Richardson, LPC
• Janice Renea Richardson, AGNP
• Jessica Laine Richardson
• Kenneth W. Richardson, CRNA
• Kimberly Ann Richardson, MS CCC/SLP

• Acute Care Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.

Verify at the official NPI Registry.