PHYLICIA R RICHARDSON


Address: 1800 N Capitol Ave, Np E-140, Indianapolis, IN 46202-1218
Phone: 3179622894

PHYLICIA R RICHARDSON (NPI# 1255798823) 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) 1255798823
Entity Type Individual
Full Name PHYLICIA R RICHARDSON
Credential NP
Practice Address 1800 N Capitol Ave
Np E-140
Indianapolis
IN 46202-1218
Mailing Address 250 N Shadeland Ave
Ste 130 - Provider Enrollment
Indianapolis
IN 46219-4959
Practice Telephone 3179622894
Practice Fax Number 3179635285
Enumeration Date 2016-01-27
Last Update Date 2016-03-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
71006018A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 201345450 05

Office Location

Street Address 1800 N CAPITOL AVE
NP E-140
City INDIANAPOLIS
State IN
Zip Code 46202-1218

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891796157 Todd S Biggerstaff Internal Medicine 1800 N Capitol Ave, Np E-140, Indianapolis, IN 46202-1218 2005-08-09
1821599614 Pamela M Dam Nurse Practitioner 1800 N Capitol Ave, Indianapolis, IN 46202-1218 2018-02-27
1508304551 Brittany K Cooper Nurse Practitioner 1800 N Capitol Ave, E-140, Indianapolis, IN 46202-1218 2017-02-09
1558714832 Haleigh T Hanson Physician Assistant 1800 N Capitol Ave, E-140, Indianapolis, IN 46202-1218 2016-07-21
1871956813 Carrie J Osborne Nurse Practitioner 1800 N Capitol Ave, E-140, Indianapolis, IN 46202-1218 2016-03-29
1578925103 Alnee L Gadberry Nurse Practitioner 1800 N Capitol Ave, E-140, Indianapolis, IN 46202-1218 2016-03-23
1255706602 Devon M Blackburn Nurse Practitioner 1800 N Capitol Ave, Np E-140, Indianapolis, IN 46202-1218 2015-12-10
1033583323 Amanda T Trout Physician Assistant 1800 N Capitol Ave, Np E-140, Indianapolis, IN 46202-1218 2015-11-24
1497125025 Peter J Sieg Nurse Practitioner 1800 N Capitol Ave, Np E-140, Indianapolis, IN 46202-1218 2015-09-25
1679949002 Indiana University Health Care Associates, Inc. Internal Medicine 1800 N Capitol Ave, B445, Indianapolis, IN 46202-1218 2015-08-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790386886 Sara Brooke Horn Registered Nurse 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 2020-11-04
1013521905 Zachary Camden Grimes Registered Nurse 720 Eskenazi Avenute, Indianapolis, IN 46202 2020-09-08
1790314045 Scott C Mitchell II Student in an Organized Health Care Education/Training Program Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 2020-04-07
1053940676 James Patrick Kelly Iv Student in an Organized Health Care Education/Training Program 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 2020-04-06
1124657697 Betsy Wilson Stevens Student in an Organized Health Care Education/Training Program 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 2020-04-06
1093340580 Brian T Edmonds Social Worker Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 2020-03-05
1326683210 Lindsay Nicole Rich Nurse Practitioner 1800 N Senate Ave, Indianapolis, IN 46202 2019-11-14
1427693670 Ronald Mcdonald House Charities of Central Indiana Voluntary or Charitable 435 Limestone Street, Indianaplois, IN 46202 2019-11-12
1790344760 Kirsten Denise Leaberry Student in an Organized Health Care Education/Training Program Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 2019-06-12
1679138093 Chris Olson Jr. Student in an Organized Health Care Education/Training Program 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 2019-05-02
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386244176 Mallory Lee Anslow Nurse Practitioner 10641 Deercrest Ln, Indianapolis, IN 46239-9690 2020-10-29
1922614965 Children Express Care Clinic LLC Nurse Practitioner 5435 Emerson Way Ste 110, Indianapolis, IN 46226-1470 2020-09-16
1255956272 Heather Nicole Zore Nurse Practitioner 9240 N Meridian St Ste 225, Indianapolis, IN 46260-1880 2020-06-15
1457976615 Adam Weir Nurse Practitioner 960 E Washington St, Indianapolis, IN 46202-3981 2020-06-13
1457975740 Ayee Teah Bleemie Nurse Practitioner 429 E Vermont St Ste 100, Indianapolis, IN 46202-3688 2020-06-02
1689294357 May Josefa Ishikawa Nurse Practitioner 705 Riley Hospital Dr Ste 2240, Indianapolis, IN 46202-5109 2020-04-22
1760001200 John Shaver Nurse Practitioner 3750 N Meridian St Ste 100, Indianapolis, IN 46208-4300 2020-04-14
1851931000 Robin L Petit Nurse Practitioner 6925 S Harding St Ste B-1, Indianapolis, IN 46217-4114 2020-01-15
1952941577 Andreya Beckett Nurse Practitioner 3500 Depauw Blvd Ste 1041, Indianapolis, IN 46268-6125 2020-01-11
1053950105 Shannon Malecki Nurse Practitioner 550 University Blvd Ste 5630, Indianapolis, IN 46202-5149 2020-01-06
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Competitor

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City INDIANAPOLIS
Zip Code 46202

Improve Information

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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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