Individual provider Active NPI

Kristen Paige Richardson, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cedar Rapids, IA
National Provider Identifier
1841300183
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G095377 Issued in IA
Practice address
1231 Park PL NE
Suite Falcon
Cedar Rapids, IA 52402-2018
Phone
(319) 521-4716
Fax
(319) 294-9356
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G095377 IA Primary

Addresses

Primary practice location

1231 Park PL NE
Suite Falcon
Cedar Rapids, IA 52402-2018

Mailing address

1231 Park PL NE
Suite Falcon
Cedar Rapids, IA 52402-2018
Phone (319) 521-4716

Other identifiers 1

IdentifierTypeStateIssuer
202332407MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20040524001259 IA Practitioner - Nurse Practitioner 8224029590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1231 Park PL NE
Suite F
Cedar Rapids, IA 52402-2015

1231 Park PL NE F
Cedar Rapids, IA 52402-2015
Phone (319) 521-4716

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kristen Richardson Arnp, PC Psychiatric/Mental Health CurrentSince Feb 11, 2005 Accepting new patients
Abbe Center for Community Mental Health, Inc Past Accepting new patients
Cedar Centre Psychiatric Group Past Accepting new patients
Brandis McFarland Ma, LMHC Mental Health Counseling PLLC Past Accepting new patients
Abbe Center for Community Mental Health, Inc Past Accepting new patients

Locations

1231 Park Pl NE
Ste F
Cedar Rapids, IA 52402
Phone (319) 521-4716

Organizations & group practices 5

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1841300183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 PARK PL NE",
            "address_2": "SUITE FALCON",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524022018",
            "telephone_number": "319-521-4716",
            "fax_number": "319-294-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 PARK PL NE",
            "address_2": "SUITE FALCON",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524022018",
            "telephone_number": "319-521-4716",
            "fax_number": "319-294-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "KRISTEN",
        "middle_name": "PAIGE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G095377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202332407",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.