Active NPI
Kathleen Jeannette Richardson, ARNP - FNP
- Family Nurse Practitioner
- Tacoma, WA
National Provider Identifier
1700809043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP30007392
- Practice address
- 1720 E 67TH St Ste 119
Tacoma, WA 98404-4223 - Phone
- (253) 212-0202
- Fax
- (253) 212-0962
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP30007392 | WA | Primary |
Addresses
Primary practice location
1720 E 67TH St Ste 119
Tacoma, WA 98404-4223
Mailing address
Madigan Army Medical Ctr
9040 Reid St. Attn: MCHJ-QCR
Tacoma, WA 98431-1100
Phone (253) 968-2252
Other practice location 1
Madigan Army Medical Ctr
9040 Reid St. ATTN: MCHJ-QCR
Tacoma, WA 98431-1100
Phone (253) 968-2252
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2075947 | Medicaid | WA | |
| 2086163 | Medicaid | WA |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anne Horsley Advanced Practice Registered Nurse PLLC | Family | Current | Accepting new patients |
Locations
1720 E 67th St
Ste 119
Tacoma, WA 98404
Phone (253) 212-0202
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 and National Provider Directory roles.
-
- Family Nurse Practitioner
- Tacoma, WA
- NPI 1518261148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610150400000",
"number": "1700809043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CTR",
"address_2": "9040 REID ST. ATTN: MCHJ-QCR",
"city": "TACOMA",
"state": "WA",
"postal_code": "984311100",
"telephone_number": "253-968-2252",
"fax_number": "253-968-3278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 E 67TH ST STE 119",
"city": "TACOMA",
"state": "WA",
"postal_code": "984044223",
"telephone_number": "253-212-0202",
"fax_number": "253-212-0962"
}
],
"practiceLocations": [
{
"address_1": "Madigan Army Medical Ctr",
"address_2": "9040 Reid St. ATTN: MCHJ-QCR",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984311100",
"country_code": "US",
"telephone_number": "253-968-2252",
"fax_number": "253-968-3278",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHARDSON",
"first_name": "KATHLEEN",
"middle_name": "JEANNETTE",
"credential": "ARNP - FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2021-01-09",
"certification_date": "2021-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30007392",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2075947",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2086163",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.