Individual provider Active NPI

Kathleen Jeannette Richardson, ARNP - FNP

  • Family Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1700809043
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30007392 Issued in WA
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

Updated by the provider on Jan 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2075947MedicaidWA
2086163MedicaidWA

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

OrganizationSpecialtyStatusNew patients
Anne Horsley Advanced Practice Registered Nurse PLLC Family CurrentSince Mar 1, 2020 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.

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.

Verify at the official NPI Registry.