Active NPI
Deborah L Richmond, D.O.
- Internal Medicine Physician
- Lansing, MI
National Provider Identifier
1891738035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 5101010801
- Practice address
- 1540 Lake Lansing Rd
Ste 201
Lansing, MI 48912-3756 - Phone
- (517) 913-3900
- Fax
- (517) 913-3901
- NPI assigned
- Jun 14, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5101010801 | MI | Primary |
Addresses
Primary practice location
1540 Lake Lansing Rd
Ste 201
Lansing, MI 48912-3756
Mailing address
1540 Lake Lansing Rd
Ste 201
Lansing, MI 48912-3756
Phone (517) 913-3900
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1001922 | Other | MI | MCLAREN HEALTH PLAN-MEDICAID |
| 110169069 | Other | MI | RAILROAD MEDICARE |
| 200000002615 | Other | MI | PHP |
| 200000002615 | Other | MI | PHP FAMILYCARE |
| 1001922 | Other | MI | MCLAREN HEALTH ADVANTAGE |
| 1001922 | Other | MI | MCLAREN HEALTH PLAN-COMMERCIAL |
| 1153302355 | Other | MI | BCBS/BCN |
| 4079724 | Medicaid | MI | |
| 0M21440003 | Other | MI | MEDICARE ADVANTAGE |
| 4452199 | Other | MI | AETNA |
| 4857079 | Medicaid | MI |
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
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254960000000",
"number": "1891738035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 LAKE LANSING RD",
"address_2": "STE 201",
"city": "LANSING",
"state": "MI",
"postal_code": "489123756",
"telephone_number": "517-913-3900",
"fax_number": "517-913-3901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 LAKE LANSING RD",
"address_2": "STE 201",
"city": "LANSING",
"state": "MI",
"postal_code": "489123756",
"telephone_number": "517-913-3900",
"fax_number": "517-913-3901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHMOND",
"first_name": "DEBORAH",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2009-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101010801",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH PLAN-MEDICAID",
"identifier": "1001922",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110169069",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "200000002615",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP FAMILYCARE",
"identifier": "200000002615",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH ADVANTAGE",
"identifier": "1001922",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH PLAN-COMMERCIAL",
"identifier": "1001922",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS/BCN",
"identifier": "1153302355",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4079724",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ADVANTAGE",
"identifier": "0M21440003",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4452199",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4857079",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.