Amy Richardson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

906231 Issued in MS

Practice address

101 Cunningham Dr
Ripley, MS 38663-1302

Phone

(731) 394-1145

NPI assigned

Aug 29, 2023

Sex

Female

Sole proprietor

No

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

Enrolled in MS

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 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Health Corp of Houston, Inc.Group PAC ID 0042102352, 10 clinicians

Progressive Health of Houston LLCGroup PAC ID 0143662429, shared by 4 NPIs, 17 clinicians

Ultra Health LLCGroup PAC ID 6800186602, 151 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tippah County Hospital Hospital, Ripley, MS, CCN 251337

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4

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.

• Ultra Health LLC

  dba Ultra Health Provders

  • Geriatric Medicine (Internal Medicine) Physician
  • Nashville, TN
  • NPI 1922469543

  MS

  Medicare reassignment Care Compare group NPD
• Strategic Solutions-Panola Medical Center LLC

  dba Panola Women's and Children's Clinic

  • Rural Health Clinic/Center
  • Batesville, MS
  • NPI 1700349222
  Medicare reassignment NPD
• Wilco Healthcare of North Mississippi, PLLC

  • Family Medicine Physician
  • Tupelo, MS
  • NPI 1821556838
  Medicare reassignment NPD
• Strategic Solutions-Panola Medical Center LLC

  dba Panola Medical Center

  • Rural Acute Care Hospital
  • Batesville, MS
  • NPI 1053873307
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tippah County Hospital

  dba Tippah County Health Services1

  • General Acute Care Hospital
  • Ripley, MS
  • NPI 1306882246
  Care Compare affiliation
• Tippah County Hospital

  dba Tippah County Health Services

  • Critical Access Hospital
  • Ripley, MS
  • NPI 1730578600
  Care Compare affiliation

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1780469569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 PEMBERTON CV",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383055514",
            "telephone_number": "731-394-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CUNNINGHAM DR",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386631302",
            "telephone_number": "731-394-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Region IV Elderly Outpatient Psychosocial (Region IV Mental Health Services)
• Region IV Mental Health Services
• Region IV Mental Health Services-Tippah County Children's Office
• Region IV Work Activity
• Caitlin Ann Renfro
• Jennifer Richardson, FNP-BC
• Kaitlin Danielle Rinehart
• Ripley Drug Company, Inc.
• Ripley Drug Company, Inc. (Ripley Drug Co)
• Ripley Eye Care, LLC

• Family Nurse Practitioner in Ripley, MS
• Providers in Ripley, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.