Sherri Lynn Richardson, DNP, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R0072815 Issued in OK

Practice address

4716 W Urbana St
Broken Arrow, OK 74012-5997

Phone

(918) 872-6515

Fax

(918) 872-6516

NPI assigned

Sep 11, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK, AL, TX, MT, WY5 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 5

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations (25 of 33)

Interoperability endpoints

• Direct secure messaging: sherri.richardson@337577483108356.direct.elationemr.com

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.

• Lifemd Atlantic Patient Medical Care PC

  • Clinic/Center
  • Hoboken, NJ
  • NPI 1164100657

  OK

  Medicare reassignment NPD
• Lifemd Kansas Patient Medical Care PA

  • Clinic/Center
  • Overland Park, KS
  • NPI 1073353850

  OK, WY

  Medicare reassignment NPD
• Lifemd Midwest Patient Medical Care PC

  • Clinic/Center
  • Troy, MI
  • NPI 1497433734

  OK

  Medicare reassignment NPD
• Lifemd South Central Patient Medical Care PA

  • Clinic/Center
  • Dallas, TX
  • NPI 1871270348

  OK

  Medicare reassignment NPD
• Lifemd Southern Patient Medical Care PC

  • Clinic/Center
  • Orlando, FL
  • NPI 1417635921

  AL, OK

  Medicare reassignment NPD
• New York Patient Medical Care PC

  • Multi-Specialty Clinic/Center
  • Rochester, NY
  • NPI 1629757919

  OK

  Medicare reassignment NPD
• Puopolo MD PC

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1477230928

  MT, OK

  Medicare reassignment NPD
• Prophylaxis Healthcare LLC

  dba Axis HealthCare

  • Multi-Specialty Clinic/Center
  • Bixby, OK
  • NPI 1538453923
  Medicare reassignment

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1750530036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 W URBANA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125997",
            "telephone_number": "918-872-6515",
            "fax_number": "918-872-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4716 W URBANA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125997",
            "telephone_number": "918-872-6515",
            "fax_number": "918-872-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "SHERRI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "DNP, APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OK",
            "license": "R0072815",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0072815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200560060 A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200560060A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela J Rhodes, D.D.S
• Sydney Nichol Rice
• Dana Rich
• Joshua Richardson, COTA/L
• Moira Flynn Richardson
• Douglas W Richmond, M.D.
• Josh Richmond, PHARM D
• Jessica Lee Ridenour
• Bart Rider, D.O.
• Ashley Nicole Ridge

• Family Nurse Practitioner in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.