Individual provider Active NPI

Casey A Richards, PRS

  • Peer Specialist
  • Portland, OR
National Provider Identifier
1982456372
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
111 SW Naito Pkwy Ste 200
Portland, OR 97204-3512
Phone
(888) 288-4715
NPI assigned
Apr 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Primary

Addresses

Primary practice location

111 SW Naito Pkwy Ste 200
Portland, OR 97204-3512

Mailing address

111 SW Naito Pkwy Ste 200
Portland, OR 97204-3512
Phone (907) 531-9961

Other practice location 1

1050 Salmon Creek Ln Apt F201
Juneau, AK 99801-7859
Phone (907) 531-9961 ext. 116

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Care Provider Group PA CurrentSince Apr 9, 2024 Accepting new patients

Locations

111 SW Naito Pkwy
Ste 200
Portland, OR 97204
Phone (503) 208-5061

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1982456372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SW NAITO PKWY STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972043512",
            "telephone_number": "907-531-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SW NAITO PKWY STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972043512",
            "telephone_number": "888-288-4715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Salmon Creek Ln Apt F201",
            "address_purpose": "LOCATION",
            "city": "Juneau",
            "state": "AK",
            "postal_code": "998017859",
            "country_code": "US",
            "telephone_number": "907-531-9961 x116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "CASEY",
        "middle_name": "A",
        "credential": "PRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.