Lynn Ann Richardson, RN, CNS

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

R0661711 Issued in MN

Practice address

5637 Brooklyn Blvd
Suite 200
Brooklyn Center, MN 55429-3081

Phone

(763) 971-2959

Fax

(763) 971-2959

NPI assigned

Sep 26, 2006

Last updated

Nov 26, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Registered Nurse

State licenses

Practice roles

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.

• Kate M Hathaway, PHD, LP, Inc

  • Clinical Psychologist
  • Saint Paul, MN
  • NPI 1497172084
  NPD (past)
• Nobles PSYD LP LLC

  • Counseling Psychologist
  • Saint Paul, MN
  • NPI 1154623593
  NPD (past)
• Sarah L. Hart, PH.D., LLC

  dba Sarah L Hart, PhD, LP

  • Counseling Psychologist
  • Saint Paul, MN
  • NPI 1285935064
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227657600000",
    "number": "1568563864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5637 BROOKLYN BLVD",
            "address_2": "SUITE 200",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293081",
            "telephone_number": "763-971-2959",
            "fax_number": "763-971-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5637 BROOKLYN BLVD",
            "address_2": "SUITE 200",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293081",
            "telephone_number": "763-971-2959",
            "fax_number": "763-971-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "LYNN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RN, CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MN",
            "license": "R0661711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "6247871",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5379824",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "448255700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "17F32RI",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Resilience Care Services LLC (RCS)
• Revive & Thrive Care Services
• Bailey Sue Rhoades, LMFT
• Rhodium Healthcare Services Inc
• Erin Elizabeth Richardson, PA-C
• Mackenzie Joy Richie
• Carol Rieger
• Daniel K Ries, M.D.
• Bruce L Ring, MD
• Judy Ring

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; 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.