Individual provider Active NPI

Jason Richmond, R.N.

  • Pediatric Registered Nurse
  • Scranton, PA
National Provider Identifier
1669845087
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Registered NurseTaxonomy code 163WP0200X
License
RN634070 Issued in PA
Practice address
2013 Boulevard Ave
Scranton, PA 18509-1205
Phone
(570) 963-1276
Fax
(570) 558-2455
NPI assigned
Nov 6, 2015
Last updated
Nov 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN634070 PA
Pediatric Registered Nurse 163WP0200X RN634070 PA Primary

Addresses

Primary practice location

2013 Boulevard Ave
Scranton, PA 18509-1205

Mailing address

2010 Adams Ave
Scranton, PA 18509-1508
Phone (570) 963-1278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN634070PAMDPediatric Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Center Past Accepting new patients
St. Joseph's Center PastSince Jul 24, 2009 Accepting new patients

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, 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": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1669845087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 ADAMS AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185091508",
            "telephone_number": "570-963-1278",
            "fax_number": "570-963-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 BOULEVARD AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185091205",
            "telephone_number": "570-963-1276",
            "fax_number": "570-558-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "JASON",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN634070",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "PA",
            "license": "RN634070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.