Jermaine Richards, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

033258 Issued in CT

Practice address

3303 Main St
Stratford, CT 06614-4869

Phone

(203) 377-2220

NPI assigned

Apr 25, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Aaa Nursing Care LLC

  • Nursing Care Agency
  • Stratford, CT
  • NPI 1255599106
  NPD (past)

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1699033852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3072",
            "city": "WESPORT",
            "state": "CT",
            "postal_code": "06880",
            "telephone_number": "203-993-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144869",
            "telephone_number": "203-377-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "JERMAINE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CT",
            "license": "033258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Resnick, D.M.D.
• Elissa Reyes, MSN CCRN ACNPC- AG
• Michaela J Reynolds, OTR/L
• Reza Radmand DMD, a Dental Corp.
• Leshae M Rice, MS
• William C Riecker, DDS
• Right at Home LLC
• Jocelyn J Rios
• Rite Aide
• Johana Rivadeneira

• Licensed Practical Nurse in Stratford, CT
• Providers in Stratford, CT by specialty
• Licensed Practical Nurse in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.