JORDAN P RICHARDSON MD
NPI 1447143763
Student in an Organized Health Care Education/Training Program in Saint Paul, MN

Q: What is Jordan Richardson's NPI number?

The NPI number for Jordan Richardson is 1447143763. It was assigned to this individual provider in the NPPES registry on June 3, 2025.

Q: What is Jordan Richardson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Richardson was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 03, 2025PECOS Enrolled

640 JACKSON ST, SAINT PAUL, MN 55101(651) 254-3456 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Jordan P Richardson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN P RICHARDSON MD (NPI 1447143763) is an individual student in an organized health care education/training program in Saint Paul, Minnesota and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447143763

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJORDAN P RICHARDSONCredential: MD

Location Address640 JACKSON STSaint Paul, MN 55101-2595

Mailing Address640 Jackson StSaint Paul, MN 55101-2595 · (651) 254-3456

Phone(651) 254-3456

Sole ProprietorNo

Enumeration DateJune 3, 2025

NPPES CertifiedJune 3, 2025

✔ NPI 1447143763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

640 JACKSON ST, Saint Paul, MN 55101

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan P Richardson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WOJCIECH KRASZKIEWICZ M.D.

Internal Medicine