JANICE RENEA RICHARDSON (NPI# 1306110366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306110366 |
| Entity Type | Individual |
| Full Name | JANICE RENEA RICHARDSON |
| Credential | AGNP |
| Practice Address |
1350 E Lancaster Ave Ste 100 Fort Worth TX 76102-6671 |
| Mailing Address |
9229 Lbj Fwy Attn: Post Acute Dallas TX 75243-3405 |
| Practice Telephone | 8177028391 |
| Practice Fax Number | 8177024102 |
| Mailing Telephone | 6822363656 |
| Mailing Fax Number | 2145701692 |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2019-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP117208 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP117208 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
601924 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
601924 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8920NK | 01 |
| TX | 340549003 | 05 | |
| TX | BCBS | 8445NJ | 01 |
| TX | 340549001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9229 Lbj Fwy, Attn: Post Acute, Dallas, TX 752433405 | 6822363656 | 2145701692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127841 | Janice Richardson | Registered Nurse | 15986 Turtle Bay Pl, Fontana, CA 92336-4543 | 2020-08-31 |
| 1073602678 | Janice Marie Richardson | Counselor | 1356 N Graham Ave, Indianapolis, IN 46219-3133 | 2006-10-12 |
| 1114349453 | Janice Richardson | Registered Nurse | 400 Shadow Ln Ste 106, Las Vegas, NV 89106-4355 | 2014-01-06 |
| 1477680411 | Janice L Richardson | Registered Nurse | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2007-02-27 |
| 1669551818 | Janice Karen Richardson | Physical Therapist | 1005 Slater Road, Suite 120, Durham, NC 27703-8471 | 2006-11-06 |
| 1811078660 | Janice Marie Richardson | Social Worker | 301 The City Dr S, Orange, CA 92868-3205 | 2006-10-18 |
| Street Address |
1350 E LANCASTER AVE STE 100 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76102-6671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285113746 | Deirdre P Browne | Counselor | 1500 E El Paso, Fort Worth, TX 76102 | 2018-08-07 |
| 1740784206 | Cvs Pharmacy Inc | Pharmacy | 515 Houston St, Fort Worth, TX 76102 | 2018-03-20 |
| 1316448061 | Diondra Deshawn Narcisse | Licensed Vocational Nurse | 1314 Lake Street, Fort Worth, TX 76102 | 2018-02-27 |
| 1649779943 | Carmela A Solis | Specialist/Technologist, Other | 500 Throckmorton Street Unit 3309, Fort Worth, TX 76102 | 2018-02-02 |
| 1104324516 | Vicki Webb-baker | Health Educator | 512 Lamar Street, Suite 400, Fort Worth, TX 76102 | 2018-01-31 |
| 1235647678 | Brianna Marie Keister | Occupational Therapist | 201 W. Lancaster Ave, 417, Fort Worth, TX 76102 | 2018-01-19 |
| 1437507910 | Medical Hearing Services, LLC | Hearing Aid Equipment | 1201 Summit Avenue, Fort Worth, TX 76102 | 2016-05-25 |
| 1891171476 | Karis Starke | Physical Therapy Assistant | 2500 West Freeway (i-30), 100, Fort Worth, TX 76102 | 2015-08-05 |
| 1265839344 | Fm Katy Dental and Orthodontics, Pllc | Dentist | 100 E 15th Ste 520, Fort Worth, TX 76102 | 2014-12-04 |
| 1093134512 | Superior Evaluation Services | General Practice | 420 Throckmorton Suite 200, Ft. Worth, TX 76102 | 2014-04-11 |
| Find all providers in zip 76102 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310009 | Mercy Ngeusang | Nurse Practitioner | 5440 Tuxbury Pond Dr, Fort Worth, TX 76179-1489 | 2020-06-12 |
| 1003475682 | Rachel A Oyejide | Nurse Practitioner | 4205 Golden Horn Ln, Fort Worth, TX 76123-2569 | 2019-06-07 |
| 1457829962 | Nelius Njuguna | Nurse Practitioner | 5204 Bryant Irvin Rd Apt 2119, Fort Worth, TX 76132-3847 | 2018-11-02 |
| 1215442819 | Samuel Nganga Kamau | Nurse Practitioner | 10008 Channing Rd, Fort Worth, TX 76244-8500 | 2017-12-06 |
| 1841739018 | Shannon Boodhwani | Nurse Practitioner | 6100 Harris Pkwy Ste 345, Fort Worth, TX 76132-4134 | 2017-02-21 |
| 1831632306 | Brianna Hawkins | Nurse Practitioner | 10628 Donnis Dr, Fort Worth, TX 76244-6658 | 2016-11-30 |
| 1518359645 | Barbara Evans | Nurse Practitioner | 1001 12th Ave Ste 130, Fort Worth, TX 76104-3926 | 2015-02-26 |
| 1942575329 | Mari J. Finley | Nurse Practitioner | 4503 Anglin Cir, Fort Worth, TX 76140-4205 | 2012-03-18 |
| 1477154490 | Cassandra Jade Hinojosa | Nurse Practitioner | 6301 Harris Pkwy Ste 300, Fort Worth, TX 76132-4266 | 2020-11-05 |
| 1679055750 | Waldfeld Rios | Nurse Practitioner | 10412 Bear Creek Trl, Fort Worth, TX 76244-6515 | 2018-09-05 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76102 |
Please comment or provide details below to improve the information on JANICE RENEA 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.