Individual provider Active NPI

Virginia A Richardson

  • Nurse Practitioner
  • Federal Way, WA
National Provider Identifier
1790847283
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP30005452 Issued in WA
Practice address
909 S 336TH St Ste 200
Federal Way, WA 98003-7394
Phone
(253) 235-5956
Fax
(253) 235-5957
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP30005452 WA Primary

Addresses

Primary practice location

909 S 336TH St Ste 200
Federal Way, WA 98003-7394

Mailing address

909 S 336TH St Ste 200
Federal Way, WA 98003-7394
Phone (253) 235-5956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20070306000130 WA Practitioner - Nurse Practitioner 4082717434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Center for Psychological Health LLCGroup PAC ID 4789008913, 4 clinicians

Practice addresses (Care Compare)

10700 Meridian Ave N
Suite 402
Seattle, WA 98133-9008
Phone (206) 466-5649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Psychological Health, LLC CurrentSince Mar 6, 2024 Accepting new patients
The Center for Family & Lifespan Development CurrentSince Oct 16, 2021 Accepting new patients

Locations

909 S 336th St
Ste 200
Federal Way, WA 98003
Phone (253) 235-5956

10700 Meridian Ave N
Ste 402
Seattle, WA 98133
Phone (206) 466-5649

Organizations & group practices 2

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1790847283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 S 336TH ST STE 200",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037394",
            "telephone_number": "253-235-5956",
            "fax_number": "253-235-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 S 336TH ST STE 200",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037394",
            "telephone_number": "253-235-5956",
            "fax_number": "253-235-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "VIRGINIA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30005452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.