MS. LEESA RICHARDSON (NPI# 1023032950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023032950 |
| Entity Type | Individual |
| Full Name | MS. LEESA RICHARDSON |
| Credential | MD |
| Practice Address |
3215 Westport Green Pl Louisville KY 40241-3135 |
| Mailing Address |
Po Box 950166 Louisville KY 40295-0166 |
| Practice Telephone | 5024121112 |
| Practice Fax Number | 5023570606 |
| Mailing Telephone | 5022531035 |
| Mailing Fax Number | 5022531037 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2012-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 22847 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | BCBS | 000000189835 | 01 |
| KY | 64224876 | 05 |
| Street Address |
3215 WESTPORT GREEN PL |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40241-3135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720009665 | Promptcare Physician Group Pllc | Clinic/Center | 3215 Westport Green Pl, Louisville, KY 40241-3135 | 2006-07-23 |
| 1972807725 | Baptist Community Health Services | Emergency Medicine | 3215 Westport Green Pl, Louisville, KY 40241-3135 | 2011-01-07 |
| 1245254150 | Robert Cloar | Emergency Medicine | 3215 Westport Green Pl, Louisville, KY 40241-3135 | 2006-07-26 |
| 1093739914 | Michael Hannigan | Emergency Medicine | 3215 Westport Green Pl, Louisville, KY 40241-3135 | 2006-07-26 |
| 1538180401 | Ring R Tsai | Emergency Medicine | 3215 Westport Green Pl, Louisville, KY 40241-3135 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
| 1639636988 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Park Plaza, 9720 Park Plaza Avenue #101, Louisville, KY 40241 | 2019-02-22 |
| 1164990396 | Tiffany Elizabeth Gallucci | Nurse Practitioner | 4915 Norton Healthcare Boulevard, Louisville, KS 40241 | 2018-11-06 |
| 1952876146 | Ashley Lynne Johnson Belcher | Psychologist | 9700 Park Plaza Avenue, Ste. 106, Louisville, KY 40241 | 2018-10-04 |
| 1265935977 | Family Podiatry Center Pllc | Podiatrist | 9850 Von Allmen Ct, Louisville, KY 40241 | 2018-03-09 |
| 1346767472 | Bridgett Lin Youngblood | Case Manager/Care Coordinator | 4313 Brownsboro Glen Rd, Louisville, KY 40241 | 2017-08-29 |
| 1518375690 | Amir Shahla | Dentist | 10500 Fischer Park Dr, Louisville, KY 40241 | 2014-08-01 |
| 1255741781 | Alicia M Durham | Marriage & Family Therapist | 3900 Riveroaks Ln, Louisville, KY 40241 | 2014-05-06 |
| 1962826719 | Applied Behavioral Consulting, LLC | Community/Behavioral Health | 4517 Shenandoah Drive, Louisville, KY 40241 | 2014-02-14 |
| 1336579176 | Nicholas Weickel | Physical Therapist | 9880 Angie's Way, Suite 100, Louisville, KY 40241 | 2013-11-14 |
| Find all providers in zip 40241 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144876814 | You Only Live Once Medical | General Practice | 821 Ulrich Ave, Louisville, KY 40219-1844 | 2019-08-17 |
| 1760979124 | Healthy Living Primary Care | General Practice | 4400 Breckenridge Ln Ste 147, Louisville, KY 40218 | 2018-04-20 |
| 1639603145 | Charita Weathers | General Practice | 401 East Chestnut, Ste 610, Louisville, KY 40202 | 2017-04-12 |
| 1528519113 | A New Journey | General Practice | 4100 Cadillac Ct, Louisville, KY 40213-1591 | 2016-10-18 |
| 1013381441 | Veloz Medical Services Corp | General Practice | 6911 Shepherdsville Rd, Louisville, KY 40219-2211 | 2015-11-23 |
| 1407229545 | Fern Medical and Rehab Corp | General Practice | 5520 Fern Valley Rd, 107, Louisville, KY 40228-1087 | 2015-11-12 |
| 1245616960 | Gerald Michael Daiuto | General Practice | 13100 Rehl Rd, Louisville, KY 40299-4716 | 2015-08-04 |
| 1932586518 | Alexei Arkadievich Krainev | General Practice | 3107 Sunfield Cir, Louisville, KY 40241-6515 | 2015-05-02 |
| 1407263429 | Vlad Medical Ceneter | General Practice | 1400 Envoy Cir Ste 1416, Louisville, KY 40299-2896 | 2014-07-22 |
| 1366859530 | Ramid Med Center Corp | General Practice | 12305 Westport Rd Ste 106, Louisville, KY 40245-2712 | 2014-07-18 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40241 |
Please comment or provide details below to improve the information on MS. LEESA RICHARDSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.