Individual provider Active NPI

Betty Namakula Richards, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Framingham, MA
National Provider Identifier
1619119799
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN257128 Issued in MA
Practice address
65 Waushakum St
Framingham, MA 01702-8736
Phone
(508) 620-6055
Fax
(508) 620-6055
NPI assigned
Apr 3, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X RN257128 MA Primary

Addresses

Primary practice location

65 Waushakum St
Framingham, MA 01702-8736

Mailing address

65 Waushakum St
Framingham, MA 01702-8736
Phone (781) 308-7855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20200403001152 MA Practitioner - Nurse Practitioner 8628407186 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthdrive Behavioral Health Services, PLLCGroup PAC ID 8729345822, 89 clinicians

Practice addresses (Care Compare)

100 Crossing Blvd
Suite 300
Framingham, MA 01702-5555
Phone (888) 964-6681

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN257128MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthdrive Behavioral Health Services, PLLC Multi-Specialty CurrentSince Oct 1, 2021 Accepting new patients
Health Prioritized PC Multi-Specialty Current Accepting new patients
Supportive Behavioral Care of Ma LLC Multi-Specialty CurrentSince Jun 21, 2021 Accepting new patients

Locations

44 School St
Rm 325
Boston, MA 02108
Phone (508) 831-8558

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

103 Myron St
Ste A
West Springfield, MA 01089
Phone (978) 388-1010

27 Randolph Rd
#A
Howell, NJ 07731
Phone (732) 797-9290

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

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": "1238716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1619119799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 WAUSHAKUM ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028736",
            "telephone_number": "781-308-7855",
            "fax_number": "508-620-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 WAUSHAKUM ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028736",
            "telephone_number": "508-620-6055",
            "fax_number": "508-620-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "BETTY",
        "middle_name": "NAMAKULA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-03",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN257128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.