Individual provider Active NPI

Monique Richmond, FNP

  • Primary Care Nurse Practitioner
  • Morgantown, WV
National Provider Identifier
1649635467
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP08540 Issued in LA
Practice address
423 Fortress Blvd
Morgantown, WV 26508-1351
Phone
(469) 307-5802
NPI assigned
Dec 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP08540 LA
Primary Care Nurse Practitioner 363LP2300X AP08540 LA Primary

Addresses

Primary practice location

423 Fortress Blvd
Morgantown, WV 26508-1351

Mailing address

1575 Heritage Dr Ste 200
McKinney, TX 75069-3288
Phone (469) 307-5802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA, VA, WV4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20221101000697 FL Practitioner - Nurse Practitioner 6406159631 Reassigns benefits to 2 organizations
I20240104000040 PA Practitioner - Nurse Practitioner 6406159631 Reassigns benefits to 1 organization
I20240206005003 VA Practitioner - Nurse Practitioner 6406159631 Reassigns benefits to 1 organization
I20240321002243 WV Practitioner - Nurse Practitioner 6406159631

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP08540LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Oct 26, 2022 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Dec 1, 2023 Accepting new patients
Urgent Care, PC - Pennsylvania Current Accepting new patients
Dwic of Tampa Bay, Inc. CurrentSince Oct 26, 2022 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Dec 1, 2023 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Oct 26, 2022 Accepting new patients
Dwic of Tampa Bay, Inc. Current Accepting new patients
Medexpress Urgent Care, PC - Virginia CurrentSince Dec 1, 2023 Accepting new patients
Dwic of Tampa Bay, Inc. CurrentSince Oct 26, 2022 Accepting new patients
Medexpress Urgent Care, PC - Virginia CurrentSince Dec 1, 2023 Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients
E and G Enterprises Inc Past Accepting new patients

Locations

7593 Boynton Beach Blvd
Ste 190
Boynton Beach, FL 33437
Phone (561) 572-3200

8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150

1120 Homestead Rd N
Lehigh Acres, FL 33936
Phone (239) 303-5020

2810 W Mlk Blvd
Tampa, FL 33607
Phone (813) 289-6637

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

1336 W Main St
Salem, VA 24153
Phone (540) 389-0374

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

Interoperability endpoints

  • Direct secure messaging: monique.richmond.3@27404.direct.athenahealth.com

Organizations & group practices 12

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": "1450656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1649635467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 HERITAGE DR STE 200",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693288",
            "telephone_number": "469-307-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 FORTRESS BLVD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081351",
            "telephone_number": "469-307-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "MONIQUE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-21",
        "last_updated": "2024-02-07",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08540",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "AP08540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.