Active NPI
Jessica Lynn Richardson, FNP
- Nurse Practitioner
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 138930
- Practice address
- 877 Jefferson Ave
Memphis, TN 38103-2807 - Phone
- (901) 545-7100
- NPI assigned
- Feb 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 138930 | TN | Primary |
| Family Nurse Practitioner | 363LF0000X | 25616 | TN |
Addresses
Primary practice location
877 Jefferson Ave
Memphis, TN 38103-2807
Mailing address
5929 Matthew Dr
Horn Lake, MS 38637-8723
Phone (901) 482-0903
Other practice location 1
7691 Poplar Ave
Germantown, TN 38138-3904
Phone (901) 516-1290
Other practice location 2
1265 Union Ave
Memphis, TN 38104-3415
Phone (901) 516-2362
Other practice location 3
3021 Brunswick Rd Ste 1105
Bartlett, TN 38133-4198
Phone (901) 726-3979
Other practice location 4
1300 Wesley Dr
Memphis, TN 38116-6426
Phone (901) 516-5741
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F01191338 | Other | AANCP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Tennessee, HSC, College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3021 Brunswick Rd
RM 1105
Bartlett, TN 38133-4198
Phone (901) 726-3979
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 138930 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Regional One Physicians Inc | Single Specialty | Current | Accepting new patients |
| Ut Regional One Physicians Inc | Single Specialty | Current | Accepting new patients |
| Adult and Adolescent Medicine Clinics PLLC | Single Specialty | Current | Accepting new patients |
Locations
2911 Brunswick Rd
Bartlett, TN 38133
Phone (901) 373-0905
6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085
1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362
880 Madison Ave
Memphis, TN 38103
Phone (901) 515-3500
877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1538276704
Single Specialty
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1609850692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1922563832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5929 MATTHEW DR",
"city": "HORN LAKE",
"state": "MS",
"postal_code": "386378723",
"telephone_number": "901-482-0903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "877 JEFFERSON AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381032807",
"telephone_number": "901-545-7100"
}
],
"practiceLocations": [
{
"address_1": "7691 Poplar Ave",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "TN",
"postal_code": "381383904",
"country_code": "US",
"telephone_number": "901-516-1290",
"fax_number": "901-516-1220",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1265 Union Ave",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381043415",
"country_code": "US",
"telephone_number": "901-516-2362",
"fax_number": "901-516-8254",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3021 Brunswick Rd Ste 1105",
"address_purpose": "LOCATION",
"city": "Bartlett",
"state": "TN",
"postal_code": "381334198",
"country_code": "US",
"telephone_number": "901-726-3979",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1300 Wesley Dr",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381166426",
"country_code": "US",
"telephone_number": "901-516-5741",
"fax_number": "901-516-5986",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHARDSON",
"first_name": "JESSICA",
"middle_name": "LYNN",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-05",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "138930",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "25616",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANCP",
"identifier": "F01191338",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.