MICKI RICHARDSON (NPI# 1083931596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083931596 |
| Entity Type | Individual |
| Full Name | MICKI RICHARDSON |
| Other Name | MICKI HINES |
| Credential | APRN-CNP |
| Practice Address |
105 N Indian Meridian Rd Pauls Valley OK 73075-9236 |
| Mailing Address |
Po Box 269024 Oklahoma City OK 73126-9024 |
| Practice Telephone | 4052079800 |
| Mailing Telephone | 8663240820 |
| Mailing Fax Number | 4057597725 |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2016-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
R81208 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
105 N INDIAN MERIDIAN RD |
| City | PAULS VALLEY |
| State | OK |
| Zip Code | 73075-9236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952340572 | Brian A Allee | Family Medicine | 105 N Indian Meridian Rd, Pauls Valley, OK 73075-9236 | 2006-06-06 |
| 1598225369 | Saint Medical Group, LLC | Physician Assistant | 105 N Indian Meridian Rd, Pauls Valley, OK 73075-9236 | 2019-03-20 |
| 1902278609 | Kailee Renee Branscum | Nurse Practitioner | 105 N Indian Meridian Rd, Pauls Valley, OK 73075-9236 | 2015-10-21 |
| 1164831574 | Mary Melinda Dennis | Nurse Practitioner | 105 N Indian Meridian Rd, Pauls Valley, OK 73075-9236 | 2014-08-11 |
| 1659679447 | Deana Kay Andrews | Nurse Practitioner | 105 N Indian Meridian Rd, Pauls Valley, OK 73075-9236 | 2011-03-03 |
| 1720259849 | Julie Lynn Bowring | Physician Assistant | 105 N Indian Meridian Rd, Pauls Valley, OK 73075-9236 | 2008-03-17 |
| 1669668745 | Brian A Allee Do PC | Family Medicine | 105 N Indian Meridian Rd, Pauls Valley, OK 73075-9236 | 2007-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292490 | Jennifer Lynn Reicosky | Counselor | 513 Willow, Pauls Valley, OK 73075 | 2018-10-25 |
| 1336467299 | Fred Lee Mcginn Iv | Counselor | Atlc, 111 Arrowhead Dr., Pauls Valley, OK 73075 | 2010-05-17 |
| 1447435433 | Amanda Marie Hammonds | Physical Therapist | 37915 Ecr 1530, Pauls Valley, OK 73075 | 2008-01-08 |
| 1255533873 | Ladonna L.l. Lynnell Luckey | Counselor | 111 Arrowhead Drive, Adolescent Transitional Living Center, Pauls Valley, OK 73075 | 2007-06-05 |
| 1144369026 | James Ray Ward | Dentist | 112 N Oak, Pauls Valley, OK 73075 | 2007-02-06 |
| 1700953247 | Stanley Family Chiropractic PC | Chiropractor | 1555 W Grant, Pauls Valley, OK 73075 | 2006-11-29 |
| 1659458412 | Woodlawn, LLC | Respite Care | 1413 S. Chickasha, Pauls Valley, OK 73075 | 2006-11-01 |
| 1689750457 | Dana J Martin Dds PC | Dentist | 1600 Airline Road, Pauls Valley, OK 73075 | 2006-10-27 |
| 1609963800 | State of Oklahoma Dept. of Human Services | Pharmacy | Rt 1 Box 44a, Pauls Valley, OK 73075 | 2006-10-07 |
| 1295828895 | State of Oklahoma Dept. of Human Services | Intermediate Care Facility, Mentally Retarded | Rt. 1 Box 44-a, Pauls Valley, OK 73075 | 2006-10-02 |
| Find all providers in zip 73075 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548777188 | T. Jarel Brown Aprn Cnp Pllc | Clinical Nurse Specialist | 210 West Robert St, Poteau, OK 74953-2942 | 2018-01-04 |
| 1205206109 | Dawn Brown | Clinical Nurse Specialist | 2101 N 14th St Ste 114, Ponca City, OK 74601-1807 | 2015-10-05 |
| 1750683652 | Deborah Fiegel | Clinical Nurse Specialist | 3905 S Highway 97, Sand Springs, OK 74063-3829 | 2010-11-27 |
| 1811187800 | First Choice Wellness Center LLC | Clinical Nurse Specialist | 9 N Main, Kingston, OK 73439-7343 | 2007-07-26 |
| 1477093557 | Lauren Roberts | Clinical Nurse Specialist | 403 S Indian Rd, Idabel, OK 74745-5458 | 2017-03-08 |
| 1952757254 | Edward C Wemmerus | Clinical Nurse Specialist | 104 Wall St, Poteau, OK 74953-4405 | 2016-05-05 |
| 1922406859 | Jennifer Russell | Clinical Nurse Specialist | 12777 N Rockwell Ave, Oklahoma City, OK 73142-2710 | 2014-12-09 |
| 1376953943 | Sharon Ann Bowen | Clinical Nurse Specialist | 920 N 8th St, Hollis, OK 73550-2026 | 2014-05-05 |
| 1588097836 | Tabetha Jarel Brown | Clinical Nurse Specialist | 210 W Robert St, Poteau, OK 74953-2942 | 2013-08-09 |
| City | PAULS VALLEY |
| Zip Code | 73075 |
Please comment or provide details below to improve the information on MICKI 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.