Connie B Richardson, C.F.N.P.

Primary specialty

School Nurse PractitionerTaxonomy code 363LS0200X

License

R702226 Issued in MS

Practice address

180B Debuys Rd
Suite 223
Biloxi, MS 39531-4404

Phone

(228) 388-4862

Fax

(228) 388-2556

NPI assigned

Dec 5, 2006

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 2

Medicare fee-for-service enrollment

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ochsner Mississippi, LLC

  • Internal Medicine Physician
  • Bay Saint Louis, MS
  • NPI 1538674239
  Medicare reassignment NPD
• Paul G Matherne, MD

  • Family Medicine Physician
  • Gulfport, MS
  • NPI 1730245739
  Medicare reassignment
• Ochsner Mississippi, LLC

  • Internal Medicine Physician
  • Diamondhead, MS
  • NPI 1003313180
  NPD
• Ochsner Mississippi, LLC

  • Internal Medicine Physician
  • Diamondhead, MS
  • NPI 1316662059
  NPD
• Paul Matherne, M.D.

  • Preferred Provider Organization
  • Biloxi, MS
  • NPI 1659479210
  NPD (past)
• University of Southern Mississippi

  • Clinic Pharmacy
  • Hattiesburg, MS
  • NPI 1750402798
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1629136221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 BEACH PARK PL",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395606223",
            "telephone_number": "228-214-3300",
            "fax_number": "228-214-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180B DEBUYS RD",
            "address_2": "SUITE 223",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314404",
            "telephone_number": "228-388-4862",
            "fax_number": "228-388-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "CONNIE",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "C.F.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LS0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, School",
            "state": "MS",
            "license": "R702226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00123168",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE FOR LIFE",
            "identifier": "640654841",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Anne Rice, R.PH.
• Richard John Gorman MD
• Michelle Richard, PHARMD
• Jasmine Richards
• Charma Kay Richardson, LPC
• Daniel Quitman Richardson, MD
• Angela Richburg
• Gulenia Rikabi, APRN
• Margaret Riley, PMHNP
• Rise Psychotherapy and Family Support Services, PLLC

• Nurse Practitioner in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.