Individual provider Active NPI

Kaleen R Richards, CNM, ARNP

  • Advanced Practice Midwife
  • Altamonte Springs, FL
National Provider Identifier
1922156330
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
9170873 Issued in FL
Practice address
165 Montgomery Rd
Altamonte Springs, FL 32714-3102
Phone
(407) 878-2757
Fax
(407) 288-8530
NPI assigned
Jan 8, 2007
Last updated
Jun 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 9170873 FL Primary

Addresses

Primary practice location

165 Montgomery Rd
Altamonte Springs, FL 32714-3102

Mailing address

165 Montgomery Rd
Altamonte Springs, FL 32714-3102
Phone (407) 878-2757

Other identifiers 1

IdentifierTypeStateIssuer
307899000MedicaidFL

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)
Not enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
9170873FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Tree of Life Birth and Gynecology Advanced Practice Midwife CurrentSince Nov 24, 2024 Accepting new patients

Locations

165 Montgomery Rd
Altamonte Springs, FL 32714
Phone (407) 878-2757

Interoperability endpoints

  • Direct secure messaging: kaleen.richards.1@23211.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1922156330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 MONTGOMERY RD",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143102",
            "telephone_number": "407-878-2757",
            "fax_number": "407-288-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MONTGOMERY RD",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143102",
            "telephone_number": "407-878-2757",
            "fax_number": "407-288-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "KALEEN",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "CNM, ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "9170873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307899000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.