Jennifer Lynn Richards, RN

Primary specialty

Hemodialysis Registered NurseTaxonomy code 163WH0500X

License

041428835 Issued in IL

Practice address

451 E Hoehn St
Carlinville, IL 62626-1940

Phone

(217) 691-6774

NPI assigned

Mar 1, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1831691385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 E HOEHN ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261940",
            "telephone_number": "217-691-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 E HOEHN ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261940",
            "telephone_number": "217-691-6774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hemodialysis",
            "state": "MO",
            "license": "2017042146",
            "primary": false
        },
        {
            "code": "163WH0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hemodialysis",
            "state": "SD",
            "license": "R049445",
            "primary": false
        },
        {
            "code": "163WH0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hemodialysis",
            "state": "IL",
            "license": "041428835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel B Pranger, PA
• Shona Jo Quick, FNP
• Blake William Randles, D.C.
• Jane B Reichmann, P.T.
• Michaela Nichole Reichmann, RDH, PHRDH
• Marissa Lee Robinson, RD LD
• Rodney L Bailey, DMD, PC
• Julia Rebecca Roemer, RDH PHDH
• Karen C Rubrich, OD
• Rebecca Lynn Sanson, RPH

• Registered Nurse in Carlinville, IL
• Providers in Carlinville, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.