Individual provider Active NPI

Malory Lynn Richardson, NP, WHNP

  • Women's Health Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1962992164
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
3012082 Issued in KY
Practice address
151 N Eagle Creek Dr Ste 320
Lexington, KY 40509-1893
Phone
(859) 523-2526
Fax
(859) 523-2532
NPI assigned
May 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Clinical Nurse Specialist 364SW0102X 3012082 KY
Women's Health Nurse Practitioner 363LW0102X 3012082 KY Primary

Addresses

Primary practice location

151 N Eagle Creek Dr Ste 320
Lexington, KY 40509-1893

Mailing address

741 Troy TRL
Lexington, KY 40517-1958
Phone (812) 344-1926

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
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1962992164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 TROY TRL",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405171958",
            "telephone_number": "812-344-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N EAGLE CREEK DR STE 320",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091893",
            "telephone_number": "859-523-2526",
            "fax_number": "859-523-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "MALORY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "NP, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "KY",
            "license": "3012082",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KY",
            "license": "3012082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.