Active NPI
Donna Lynne Richardson, APRN-BC
- Nurse Practitioner
- Boston, MA
National Provider Identifier
1982824629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 102239
- Practice address
- 1 Gillette Park
Boston, MA 02127-1028 - Phone
- (617) 463-3499
- Fax
- (617) 463-4122
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 102239 | MA | Primary |
Addresses
Primary practice location
1 Gillette Park
Boston, MA 02127-1028
Mailing address
1 Gillette Park
Boston, MA 02127-1028
Phone (617) 463-3499
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102239 | MA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1982824629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GILLETTE PARK",
"city": "BOSTON",
"state": "MA",
"postal_code": "021271028",
"telephone_number": "617-463-3499",
"fax_number": "617-463-4122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GILLETTE PARK",
"city": "BOSTON",
"state": "MA",
"postal_code": "021271028",
"telephone_number": "617-463-3499",
"fax_number": "617-463-4122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "DONNA",
"middle_name": "LYNNE",
"name_prefix": "Mr.",
"credential": "APRN-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "102239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.