NPIMap

Individual provider Active NPI

Lisa Marie Richmond, FNP-BC

  • Nurse Practitioner
  • Beckley, WV
National Provider Identifier
1659009777
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
113698 Issued in WV
Practice address
1802 Harper Rd Ste 102
Beckley, WV 25801-3376
Phone
(304) 252-9211
NPI assigned
Aug 9, 2022
Last updated
Aug 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 113698 WV Primary

Addresses

Primary practice location

1802 Harper Rd Ste 102
Beckley, WV 25801-3376

Mailing address

349 Whispering LN
Fayetteville, WV 25840-6645
Phone (304) 573-6198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221213000325 WV Practitioner - Nurse Practitioner 8921477027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Raleigh General Hospital LLCGroup PAC ID 6103735154, 27 clinicians

Practice addresses (Care Compare)

1717 Harper Rd
Suite a
Beckley, WV 25801-3373
Phone (304) 461-3922

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
113698WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh General Hospital LLC CurrentSince Dec 1, 2022 Accepting new patients
Hcma Consultants, Inc CurrentSince Aug 14, 2022 Accepting new patients
Raleigh General Hospital Past Accepting new patients
Raleigh General Hospital LLC Nurse Practitioner Past Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

1717 Harper Rd
Fl 3
Beckley, WV 25801
Phone (304) 254-3131

1717 Harper Rd
Ste A
Beckley, WV 25801
Phone (304) 461-3879

1717 Harper Rd
Ste Ab
Beckley, WV 25801
Phone (304) 461-3700

1802 Harper Rd
Ste 102
Beckley, WV 25801
Phone (304) 252-9211

Interoperability endpoints

  • Direct secure messaging: lisa.richmond.1@20211.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1659009777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 WHISPERING LN",
            "city": "FAYETTEVILLE",
            "state": "WV",
            "postal_code": "258406645",
            "telephone_number": "304-573-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 HARPER RD STE 102",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013376",
            "telephone_number": "304-252-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "113698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.