Individual provider Active NPI

Akina Afreeka Richards

  • Nurse Practitioner
  • Coventry, CT
National Provider Identifier
1659936615
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
8212 Issued in CT
Practice address
3514 Main St
Coventry, CT 06238-1551
Phone
(860) 742-3543
NPI assigned
May 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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 12.008212 CT
Nurse Practitioner 363L00000X 8212 CT Primary

Addresses

Primary practice location

3514 Main St
Coventry, CT 06238-1551

Mailing address

3514 Main St
Coventry, CT 06238-1551
Phone (860) 742-3543

Other practice location 1

200 Mountain Rd Ste 1B
Farmington, CT 06032-2479
Phone (959) 207-0699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190626003148 CT Practitioner - Nurse Practitioner 9133453020 Reassigns benefits to 1 organization
I20260421001287 MA Practitioner - Nurse Practitioner 9133453020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Step Up Care PC LLCGroup PAC ID 5496088346, 176 clinicians
Holyoke Capital JV, LLCGroup PAC ID 7517373079, 31 clinicians

Practice addresses (Care Compare)

111 Westcott Rd
Danielson, CT 06239-2929
Phone (718) 298-4375

1233 Main St
Holyoke, MA 01040-5381
Phone (413) 264-0819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8212CTMDClinical Social Worker
12.008212CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care PC LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

111 Westcott Rd
Danielson, CT 06239
Phone (860) 774-9540

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

Organizations & group practices 2

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": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1659936615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 MAIN ST",
            "city": "COVENTRY",
            "state": "CT",
            "postal_code": "062381551",
            "telephone_number": "860-742-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 MAIN ST",
            "city": "COVENTRY",
            "state": "CT",
            "postal_code": "062381551",
            "telephone_number": "860-742-3543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Mountain Rd Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060322479",
            "country_code": "US",
            "telephone_number": "959-207-0699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "AKINA",
        "middle_name": "AFREEKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12.008212",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "8212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coventry, CT

Sources for this page

Verify at the official NPI Registry.