CDR Pierce-Richards is a Commissioned Officer in the United States Public Health Service and has served in Indian Health Service for over 12 years. She is currently assigned to the Indian health Service (IHS) Office of Information Technology (OIT) as the Supervisory Informatics Program Manager. She received her Bachelor of Science in 1996 from Johnson State College and Master of Science in Nursing in 1999 from MGH Institute of Health Professions. She is currently enrolled in the Doctor of Nursing program at University of Colorado, Denver with an expected graduation of May 2018. She joined the USPHS in 2004 and was assigned to the Yakama Service Unit as a Nurse Practitioner. She then led the EHR Implementation at the Yakama Service Unit. She served as its Clinical Applications Coordinator and Nurse Practitioner from 2005-2008 before joining the IHS National EHR Project team as a Clinical Informaticist. From 2008 to 2016, she served as the federal lead for the Electronic Health Record, decision support applications as well as the IHS terminology program which she established, led development and managed in support of the certification efforts for Meaningful Use 2014. She was deeply involved in the analysis, development, and implementation of Meaningful Use 2011, 2014, SNOMED and ICD-10 implementation. She continued part time clinical practice at the Yakama Service Unit. She moved into her current role as Supervisory Informatics Program Manager in July 2016.