Active NPI
Linda Claire Richardson-Beaird, MA RN CNS
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- St. Louis Park, MN
National Provider Identifier
1972652766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- R0639989
- Practice address
- 4601 Excelsior Blvd
Suite 501B
St. Louis Park, MN 55416 - Phone
- (612) 581-6918
- Fax
- (952) 933-3511
- NPI assigned
- Jan 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | R0639989 | MN | Primary |
Addresses
Primary practice location
4601 Excelsior Blvd
Suite 501B
St. Louis Park, MN 55416
Mailing address
4601 Excelsior Blvd
Suite 501B
St. Louis Park, MN 55416
Phone (612) 581-6918
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 4, 2014 through Feb 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Nurse Specialist, Master of Arts, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0639989 | MN | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1972652766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 EXCELSIOR BLVD",
"address_2": "SUITE 501B",
"city": "ST. LOUIS PARK",
"state": "MN",
"postal_code": "55416",
"telephone_number": "612-581-6918",
"fax_number": "952-933-3511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 EXCELSIOR BLVD",
"address_2": "SUITE 501B",
"city": "ST. LOUIS PARK",
"state": "MN",
"postal_code": "55416",
"telephone_number": "612-581-6918",
"fax_number": "952-933-3511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON-BEAIRD",
"first_name": "LINDA",
"middle_name": "CLAIRE",
"credential": "MA RN CNS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "MN",
"license": "R0639989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St. Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.