Active NPI
Nicole Richardson, OT
- Occupational Therapist
- Nashville, TN
National Provider Identifier
1568130706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6868
- Practice address
- 301 Stewarts Ferry Pike
Nashville, TN 37214-3340 - Phone
- (615) 231-5047
- Fax
- (615) 886-9972
- NPI assigned
- Sep 2, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6868 | TN | Primary |
Addresses
Primary practice location
301 Stewarts Ferry Pike
Nashville, TN 37214-3340
Mailing address
301 Stewarts Ferry Pike
Nashville, TN 37214-3340
Phone (615) 231-5047
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 Stewarts Ferry Pike
Nashville, TN 37214-3340
Phone (615) 231-5147
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6868 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Tennessee | Occupational Therapist | Current | Accepting new patients |
| State of Tennessee | Current | Accepting new patients |
Locations
301 Stewarts Ferry Pike
Nashville, TN 37214
Phone (615) 231-5147
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.
-
- Occupational Therapist
- Nashville, TN
- NPI 1417337056
-
- Public Health or Welfare Agency
- Springfield, TN
- NPI 1316090145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1568130706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 STEWARTS FERRY PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372143340",
"telephone_number": "615-231-5047",
"fax_number": "615-886-9972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 STEWARTS FERRY PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372143340",
"telephone_number": "615-231-5047",
"fax_number": "615-886-9972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "NICOLE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-02",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "6868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.