Active NPI
Christina Marie Richards, NP- C
- Nurse Practitioner
- Bend, OR
National Provider Identifier
1659027803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 202208609NP-PP
- Practice address
- 2088 NE Kim LN
Bend, OR 97701-6588 - Phone
- (541) 504-6010
- NPI assigned
- Feb 25, 2022
- Last updated
- Nov 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 202208609NP-PP | OR | Primary |
| Family Nurse Practitioner | 363LF0000X | 95020136 | CA |
Addresses
Primary practice location
2088 NE Kim LN
Bend, OR 97701-6588
Mailing address
3265 Hillcrest Park Dr
Medford, OR 97504-7657
Other names 1
- Christina Desouza
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
780 Commercial St SE
Suite 100
Salem, OR 97301-3465
Phone (830) 285-8882
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202208609NP-PP | OR | MD | Nurse Practitioner |
| 95020136 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nexus Wound Consultants LLC | Single Specialty | Current | Accepting new patients |
Locations
780 Commercial St SE
Ste 100
Salem, OR 97301
Phone (469) 466-7037
Interoperability endpoints
- christina.richards@115443077021700.direct.elationemr.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1659027803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3265 HILLCREST PARK DR",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975047657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2088 NE KIM LN",
"city": "BEND",
"state": "OR",
"postal_code": "977016588",
"telephone_number": "541-504-6010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "CHRISTINA",
"middle_name": "MARIE",
"credential": "NP- C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-25",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OR",
"license": "202208609NP-PP",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95020136",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "DESOUZA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.