HALEY C RICHARDSON


Address: 550 S Landmark Ave, Bloomington, IN 47403-3239
Phone: 8123556900

HALEY C RICHARDSON (NPI# 1104454768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104454768
Entity Type Individual
Full Name HALEY C RICHARDSON
Practice Address 550 S Landmark Ave
Bloomington
IN 47403-3239
Mailing Address 9408 Tunnel Mill Rd
Marysville
IN 47141-9721
Practice Telephone 8123556900
Enumeration Date 2020-03-30
Last Update Date 2020-08-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
9408 Tunnel Mill Rd, Marysville, IN 471419721 8122078212

Other Providers HALEY RICHARDSON

NPI Name Taxonomy Address Enumeration
1093074957 Haley L Richardson Nutritionist 140 Dover St, Shelbyville, TN 37160-2776 2012-05-14
1891052916 Haley Speer Richardson Social Worker 215 Hedrick Dr, Newport, TN 37821-2902 2012-04-13

Office Location

Street Address 550 S LANDMARK AVE
City BLOOMINGTON
State IN
Zip Code 47403-3239

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760487623 Jean A. Creek Internal Medicine 550 S Landmark Ave, Bloomington, IN 47403-3239 2005-06-16
1225657877 Valerie Mccullough Nurse Practitioner 550 S Landmark Ave, Bloomington, IN 47403-3239 2020-04-14
1669003489 Keira Bex Registered Nurse 550 S Landmark Ave, Bloomington, IN 47403-3239 2020-01-30
1992341770 Melisse Nicole Ferree Gladwell Nurse Practitioner 550 S Landmark Ave, Bloomington, IN 47403-3239 2019-11-27
1841845658 Rachael M Hamelink Registered Nurse 550 S Landmark Ave, Bloomington, IN 47403-3239 2019-08-08
1023592300 Danielle Lee Rogers Nurse Practitioner 550 S Landmark Ave, Bloomington, IN 47403-3239 2018-09-21
1508382003 Hilary Anderson Nurse Practitioner 550 S Landmark Ave, Bloomington, IN 47403-3239 2017-08-16
1205364494 Hena Naz Shah Nurse Practitioner 550 S Landmark Ave, Bloomington, IN 47403-3239 2017-06-01
1164957338 Amanda Butcher Nurse Practitioner 550 S Landmark Ave, Bloomington, IN 47403 2017-04-25
1396279709 Mary Middagh Nurse Practitioner 550 S Landmark Ave, Bloomington, IN 47403-3239 2017-04-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043783673 Brook Whitaker Registered Nurse 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 2019-01-07
1598251175 Jacob Edward Lundorf Nurse Practitioner 2100 S Liberty Dr Ste B, Bloomington, IN 47403 2018-07-06
1568973717 Gregory Thomas Dougan Physician Assistant 418 South Landmark Avenue, Bloomington, IN 47403 2017-10-16
1295276160 Indiana Center for Recovery, LLC Substance Abuse Rehabilitation Facility 1004 W 1st Street, Bloomington, IN 47403 2017-03-13
1144694217 Kayla Dewolf Specialist/Technologist 1471 W Allen St, Bloomington, IN 47403 2015-11-30
1164806444 Monroe Hosoital General Acute Care Hospital 4011 Monroe Medical Park, Bloomington, IN 47403 2015-07-16
1821411588 Jennifer Turner Occupational Therapy Assistant 1023 West Main St, Swiss Villa, Vevay, IN 47403 2014-01-30
1104170232 Kendall Basore Social Worker 445 S. Landmark Ave., Bloomington, IN 47403 2012-10-26
1568715886 Indiana Hearing LLC Hearing Aid Equipment 2019 S Liberty Dr, Bloomington, IN 47403 2012-10-24
1679870232 Accurate Hearing Services Clinic/Center 1355 W Second St, #3, Bloomington, IN 47403 2011-02-17
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508496621 Samantha Jean Mcgough Lamere Physician Assistant 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 2020-01-16
1386292886 Quinn Harmon Physician Assistant 1310 W Bloomfield Rd Ste C, Bloomington, IN 47403-2001 2019-08-28
1568973717 Gregory Thomas Dougan Physician Assistant 418 South Landmark Avenue, Bloomington, IN 47403 2017-10-16
1487172409 Melody Ann Bauman Physician Assistant 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 2017-08-30
1730619487 Elise Nicole Lill Physician Assistant 4300 Market Pte Dr Ste 100, Bloomington, MN 55435-5435 2017-06-15
1528417557 Kathryn Shalbrack Physician Assistant 4300 Marketpointe Dr, Bloomington, MN 55435-5423 2016-06-09
1740634203 Alfonso Luna IIi Physician Assistant 657 S Lancewood Ave, Bloomington, CA 92316-1336 2016-04-20
1215308671 Sara Ann Houk Physician Assistant 2200 E. Washington St, Bloomington, IL 61701-4323 2015-10-12
1760865133 Patrick D Machacek Physician Assistant 10633 Vincent Ave S, Bloomington, MN 55431-3733 2015-07-03
1558740803 Samuel Johnson Physician Assistant 2901 Metro Drive, Suite 527, Bloomington, MN 55122 2015-05-20
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Competitor

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City BLOOMINGTON
Zip Code 47403

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Dataset Information

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.

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