DAVID MICHAEL RICHARDSON (NPI# 1255985537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255985537 |
| Entity Type | Individual |
| Full Name | DAVID MICHAEL RICHARDSON |
| Credential | CERTIFIED PEER COUNS |
| Practice Address |
1000 Cherry St Se Olympia WA 98501-1433 |
| Practice Telephone | 3603572582 |
| Practice Fax Number | 3603572821 |
| Mailing Telephone | 3603572582 |
| Mailing Fax Number | 3603572821 |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2020-02-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2146438 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366925497 | David Wayne Richardson | Psychiatry & Neurology | 400 Rock Springs Road Ne, Atlanta, GA 30324 | 2018-09-14 |
| 1316459753 | David W Richardson | Dentist | 765 St. Andrews Blvd., Charleston, SC 29407 | 2017-10-25 |
| 1649719451 | David Richardson | Social Worker | 1601 S Trenton Ave, Tulsa, OK 74120-6611 | 2017-02-14 |
| 1902206394 | David Richardson IIi | Counselor | 2205 S Bentley Ave, Apt 102, Los Angeles, CA 90064-1978 | 2014-09-04 |
| 1922186535 | David D Richardson | Family Medicine | 2659 Lakeland Dr Ste C, Flowood, MS 39232-9516 | 2006-11-01 |
| 1548343858 | David S Richardson | Dentist | 67 Lafayette St, Norwich, CT 06360-3407 | 2006-10-23 |
| 1679661359 | David Morris Richardson | Chiropractor | 2955 Horizon Park Dr Ste B, Suwanee, GA 30024-7255 | 2006-10-10 |
| 1194828640 | David C Richardson | Anesthesiology | 6531 N Regal Manor Dr, Tucson, AZ 85750-1064 | 2006-09-07 |
| 1669426227 | David Walthall Richardson | Internal Medicine | 1500 Westbrook Court, Apt. 1105, Richmond, VA 23227-3366 | 2006-05-19 |
| 1104890433 | David Richardson | Chiropractor | 2302 Mcfarland Blvd E, Tuscaloosa, AL 35404-5853 | 2006-02-14 |
| Street Address |
1000 CHERRY ST SE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98501-1433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255571063 | Capital Clubhouse | Community/Behavioral Health | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2009-03-06 |
| 1700412756 | Sara Joy Drebis | Registered Nurse | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2020-03-20 |
| 1740829258 | Angela L. Warner-rein | Registered Nurse | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2019-12-31 |
| 1891337218 | Sofi Renes | Registered Nurse | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2019-10-17 |
| 1184271918 | James Morris | Peer Specialist | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2019-08-26 |
| 1881248169 | Carol Varble | Peer Specialist | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2019-07-25 |
| 1609420033 | Terry Curtis Graham | Peer Specialist | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2019-07-24 |
| 1114571551 | Heather Sturdevant | Peer Specialist | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2019-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124651880 | Marie T Bendig | Counselor | 900 Fairview St Se, #b5, Olympia, WA 98501 | 2020-02-20 |
| 1205469970 | Thurston County Fire Protection Dist 6 | Ambulance | 8047 Normandy St. Se, Olympia, WA 98501 | 2020-02-20 |
| 1134768799 | Living Sound Therapeutic Services, Pllc | Counselor | 729 Devoe St Se, Olympia, WA 98501 | 2019-12-31 |
| 1336797273 | Sea-mar Community Health Center | Dentist | 6004 Capitol Ave Sw, Tumwater, WA 98501 | 2019-09-03 |
| 1093272841 | Eye Love Pllc | Optometrist | 3409 Capitol Blvd Se, Tumwater, WA 98501 | 2019-02-28 |
| 1356815062 | Kerri Wright | Marriage & Family Therapist | 208 Lee St Sw Ste 108, Tumwater, WA 98501 | 2019-01-15 |
| 1952881161 | Paige Gautreaux | Peer Specialist | 908 5th Avenue Se, Olympia, WA 98501 | 2018-08-16 |
| 1548773997 | Carla Van Dam | Psychologist | 2620 Rw Johnson Blvd Sw Suite 204, Tumwater, WA 98501 | 2017-11-08 |
| 1528577202 | Ronald John San Nicolas | Counselor | 1011 10th Ave, Olympia, WA 98501 | 2017-09-25 |
| 1063964187 | Emily Rapesak | Pharmacist | 500 Cleveland Ave Se, Tumwater, WA 98501 | 2016-10-25 |
| Find all providers in zip 98501 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104468362 | Lyric G Sisterhen | Peer Specialist | 7823 Box Elder Dr Sw, Olympia, WA 98512-2326 | 2019-10-09 |
| 1952881161 | Paige Gautreaux | Peer Specialist | 908 5th Avenue Se, Olympia, WA 98501 | 2018-08-16 |
| 1629682893 | Charli Warren | Peer Specialist | 1202 Black Lake Blvd Sw Ste B, Olympia, WA 98502-7208 | 2020-09-03 |
| 1184271918 | James Morris | Peer Specialist | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2019-08-26 |
| 1881248169 | Carol Varble | Peer Specialist | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2019-07-25 |
| 1609420033 | Terry Curtis Graham | Peer Specialist | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2019-07-24 |
| 1114571551 | Heather Sturdevant | Peer Specialist | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2019-07-24 |
| 1992364137 | Carrie Lee Moisey | Peer Specialist | 1011 10th Ave Se, Olympia, WA 98501-1566 | 2019-06-11 |
| 1982161824 | Cassandra Cleo Rhoades | Peer Specialist | 1011 10th Ave Se, Olympia, WA 98501-1566 | 2019-02-27 |
| 1790258283 | Lawrence Arnold Taylor | Peer Specialist | 1011 10th Ave Se, Olympia, WA 98501-1566 | 2019-01-07 |
| Find all providers in OLYMPIA | ||||
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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.