Individual provider Active NPI

Melissa Jeanne Richards, BCBA

  • Behavior Analyst
  • Hermitage, TN
National Provider Identifier
1972759520
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-05-2414
Practice address
1004 Hickory Hill LN
Suite 4
Hermitage, TN 37076-1930
Phone
(615) 902-0950
Fax
(615) 902-0951
NPI assigned
Aug 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X
Behavior Analyst 103K00000X 1-05-2414 Primary

Addresses

Primary practice location

1004 Hickory Hill LN
Suite 4
Hermitage, TN 37076-1930

Mailing address

1004 Hickory Hill LN
Suite 4
Hermitage, TN 37076-1930
Phone (615) 902-0950

Other identifiers 1

IdentifierTypeStateIssuer
1516432MedicaidTN

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

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1972759520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 HICKORY HILL LN",
            "address_2": "SUITE 4",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761930",
            "telephone_number": "615-902-0950",
            "fax_number": "615-902-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 HICKORY HILL LN",
            "address_2": "SUITE 4",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761930",
            "telephone_number": "615-902-0950",
            "fax_number": "615-902-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "MELISSA",
        "middle_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-05-2414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1516432",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.