DEBORAH RICHARDSON (NPI# 1164067146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164067146 |
| Entity Type | Individual |
| Full Name | DEBORAH RICHARDSON |
| Practice Address |
4207 San Juan Dr Fairfax VA 22030-5375 |
| Mailing Address |
5204 Morris Ave Apt 203 Suitland MD 20746-3908 |
| Practice Telephone | 7038554293 |
| Mailing Telephone | 7038554293 |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 0019016159 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609923812 | Deborah Lynn Richardson | Social Worker | 209 Castlewood Drive, Ste A, Murfreesboro, TN 37129-5163 | 2007-01-03 |
| 1205856028 | Deborah Ann Richardson | Dietitian, Registered | 2020 E Taxidea Way, Phoenix, AZ 85048-4348 | 2006-07-21 |
| 1063437713 | Deborah Jeanne Richardson | Nurse Anesthetist, Certified Registered | 1300 Chain Bridge Rd, Mclean, VA 22101-3935 | 2006-07-13 |
| 1316399066 | Deborah Richardson | Nurse Practitioner | 6450 Us Highway 6, Portage, IN 46368-5110 | 2016-07-06 |
| 1598125007 | Deborah Richardson | Counselor | 4710 Auth Pl, Suite 690, Suitland, MD 20746-4223 | 2016-02-25 |
| 1073863825 | Deborah L Richardson | Nurse Practitioner | 5170 Rifle River Trl, Alger, MI 48610-9343 | 2012-09-19 |
| 1053636134 | Deborah W Richardson | Counselor | 9228 George Washington Memorial Hwy, Gloucester, VA 23061-4162 | 2010-04-01 |
| 1598914335 | Deborah G Richardson | Registered Nurse | 250 Dewey Ave, Spartanburg, SC 29303-3009 | 2008-09-17 |
| 1609059385 | Deborah S Richardson | Nurse Practitioner | 9322 E 41st St, Tulsa, OK 74145-3721 | 2007-12-17 |
| 1013112937 | Deborah Richardson | Physical Therapy Assistant | 740 E Laurel Rd, London, KY 40741-8601 | 2007-06-20 |
| Street Address |
4207 SAN JUAN DR |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-5375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467068916 | Tracy Marvin Berg IIi | Massage Therapist | 2700 Dorr Ave Apt 526, Fairfax, VA 22031-4946 | 2020-09-21 |
| 1912463712 | Sherry Lynne Cushing | Massage Therapist | 1091 Ethan Allen Hwy, Fairfax, VT 05454-5435 | 2019-02-16 |
| 1871948315 | Yvonne Dreptate | Massage Therapist | 2985 District Ave, Fairfax, VA 22031-1541 | 2016-05-03 |
| 1760888432 | Judy Lim | Massage Therapist | 4205 Olley Ln, Fairfax, VA 22032 | 2014-11-07 |
| 1043614381 | Marie-noelle Connaughton | Massage Therapist | 4023 Chain Bridge Rd, Arcadia Massage, Fairfax, VA 22030-4108 | 2014-10-15 |
| 1629312863 | Silke Greiner | Massage Therapist | 73 Gregory Dr, Fairfax, CA 94930-1025 | 2012-11-10 |
| 1407105539 | Yan Liao | Massage Therapist | 4242 Chain Bridge Rd, Suite A, Fairfax, VA 22030-8145 | 2012-09-05 |
| 1619258746 | Lauretta A Thompson | Massage Therapist | 8550 Arlington Blvd Suite 325, Roselle Center for Healing, Fairfax, VA 22031 | 2011-09-02 |
| 1467768911 | Emma J Duncan | Massage Therapist | 10560 Main St Ste Ps110, Fairfax, VA 22030 | 2010-08-23 |
| 1023579901 | Jennet L Grebe | Massage Therapist | 9567 Braddock Rd, Fairfax, VA 22032-2539 | 2019-03-25 |
| Find all providers in FAIRFAX | ||||
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| 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.