Active NPI
Melissa Sistrunk Richardson, FNPC
- Nurse Practitioner
- Logansport, LA
National Provider Identifier
1790750362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 520553482
- Practice address
- 808 Main Street
Desoto Regional Family Medicine
Logansport, LA 71049 - Phone
- (318) 697-2273
- Fax
- (318) 697-2277
- NPI assigned
- Feb 17, 2006
- Last updated
- May 5, 2020
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 520553482 | LA | Primary |
Addresses
Primary practice location
808 Main Street
Desoto Regional Family Medicine
Logansport, LA 71049
Mailing address
PO Box 789
Logansport, LA 71049
Phone (318) 697-2273
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Melissa.richardson@drfmc.eclinicaldirectplus.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 520553482 | LA | MD | Nurse Practitioner |
Interoperability endpoints
- melissa.richardson@drfmc.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588636800000",
"number": "1790750362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 789",
"city": "LOGANSPORT",
"state": "LA",
"postal_code": "71049",
"telephone_number": "318-697-2273",
"fax_number": "318-697-2277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 MAIN STREET",
"address_2": "DESOTO REGIONAL FAMILY MEDICINE",
"city": "LOGANSPORT",
"state": "LA",
"postal_code": "71049",
"telephone_number": "318-697-2273",
"fax_number": "318-697-2277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "MELISSA",
"middle_name": "SISTRUNK",
"name_prefix": "Mrs.",
"credential": "FNPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-17",
"last_updated": "2020-05-05",
"certification_date": "2020-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "520553482",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Melissa.richardson@drfmc.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "808 Main Street",
"address_2": "Desoto Regional Family Medicine",
"city": "Logansport",
"state": "LA",
"country_code": "US",
"postal_code": "71049",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Logansport, LA
- Talisha Parks
- Joseph Peoples
- Sonja Smith Polley, M.A., LPC, NCC
- Red River Pharmacy Consulting, LLC (Headrick's Drug Store)
- Red River Pharmacy Consulting, LLC (Headrick's Drug Store)
- Octavia Paulette Richardson
- Felicia W Ross, LPN
- Shomichael Stephens, PHARMD
- Robert Edwin Toner III, PA-C
- Victoria Nichole Wilson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.