JANICE RENEA RICHARDSON AGNP NPI 1306110366

NPI Information

  • NPI: 1306110366
  • Provider Name: JANICE RENEA RICHARDSON, AGNP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1350 E LANCASTER AVE STE 100
    FORT WORTH, TX
    ZIP 76102
  • Phone: (817) 702-8391

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NPI Details

Janice Renea Richardson, AGNP is an adult health nurse practitioner in Fort Worth, TX with 20 years of experience. Janice Renea Richardson, AGNP NPI is 1306110366. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1350 E LANCASTER AVE STE 100
FORT WORTH, TX
ZIP 76102-671
Phone: (817) 702-8391
Fax: (817) 702-4102

The NPI 1306110366 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/7/2012 and was last updated on 9/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary Care601924TEXASNo
2363LG0600XNurse PractitionerGerontology601924TEXASNo
3363LA2200XNurse PractitionerAdult HealthAP117208TENNESSEENo
4363LA2200XNurse PractitionerAdult HealthAP117208TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18445NJOTHERTEXASBCBS
28920NKOTHERTEXASBCBS
3340549001MEDICAIDTEXAS
4340549003MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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