Active NPI
Joan Beverly Richardson, R.N.
- Registered Nurse
- Mission Viejo, CA
National Provider Identifier
1710131925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN 294845
- Practice address
- 26127 La Paz Rd
Mission Viejo, CA 92691 - Phone
- (949) 768-3643
- NPI assigned
- Nov 14, 2008
- Last updated
- Nov 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN 294845 | CA | Primary |
Addresses
Primary practice location
26127 La Paz Rd
Mission Viejo, CA 92691
Mailing address
106 Del Gado Rd
San Clemente, CA 92672-4826
Phone (949) 768-3643
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN 294845 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226620800000",
"number": "1710131925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 DEL GADO RD",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926724826",
"telephone_number": "949-768-3643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26127 LA PAZ RD",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "92691",
"telephone_number": "949-768-3643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "JOAN",
"middle_name": "BEVERLY",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-14",
"last_updated": "2008-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "RN 294845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Viejo, CA
- Richard K. Hada, DMD, PC
- Richards Physical Therapy Inc (Professional Physical Therapy)
- Richards Physical Therapy Inc (DBA Professional Physical Therapy)
- Dennus A Richards, PT
- James P Richards, O.D.
- Ronald D Richmond, M.D.
- Randall Vincent Ricketts, D.O.
- Bonnie Lynn Riley, LMT, CMT
- Debra Dee Riley, MFT
- Jennifer Rene Riley, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.