MRS. KELLY ANALIESE RICHARDS (NPI# 1336433879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336433879 |
| Entity Type | Individual |
| Full Name | MRS. KELLY ANALIESE RICHARDS |
| Credential | FNP |
| Practice Address |
210 W Capitol Dr Milwaukee WI 53212-1123 |
| Practice Telephone | 4149065306 |
| Practice Fax Number | 4149064533 |
| Mailing Telephone | 4149065306 |
| Mailing Fax Number | 4149064533 |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2013-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4397-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1336433879 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235571688 | Kelly C. Richards | Psychologist | 721 Orwood Pl, Syracuse, NY 13208-3124 | 2013-07-26 |
| 1477803856 | Kelly J Richards | Massage Therapist | 850 High Street, Suite 2b, Holyoke, MA 01040-3739 | 2012-09-13 |
| 1649529009 | Kelly Richards | Physical Therapist | 2200 E. Washington St., Bloomington, IL 61701 | 2012-08-31 |
| 1174849772 | Kelly Richards | Physical Therapy Assistant | 1058 Clark St, D-1, Holland, OH 43528-7949 | 2010-04-08 |
| 1144650698 | Kelly Richards | Nurse Practitioner | 4 Hall St, Concord, NH 03301-3414 | 2013-11-20 |
| 1861825127 | Kelly Richards | Physician Assistant | 963 Town Center Dr, Suite 100, Orange City, FL 32763-8254 | 2013-08-09 |
| 1841524055 | Kelly A. Richards | Nurse Anesthetist, Certified Registered | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2009-09-22 |
| 1346408804 | Kelly J Richards | Dietitian, Registered | 5140 Liberty Ave, 2nd Floor, Pittsburgh, PA 15224-2215 | 2008-05-30 |
| 1720283674 | Kelly Elizabeth Richards | Social Worker | 21 W Fee Ave, Suite G, Melbourne, FL 32901-4402 | 2007-06-20 |
| Street Address |
210 W CAPITOL DR |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53212-1123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528029949 | Geoffrey A Scott | Family Medicine | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2006-03-28 |
| 1841815586 | Melissa St Antoine | Counselor | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2020-06-09 |
| 1639723711 | Amanda Marie Olivas | Nurse Practitioner | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2019-07-28 |
| 1851956882 | Juan Felipe Valencia | Dentist | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2019-05-06 |
| 1861057085 | Brent Norman Tollerud | Dentist | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2019-05-02 |
| 1235690280 | Benjamin Alan Klatt | Nurse Practitioner | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2019-03-30 |
| 1063983294 | Michelle Elaine Mckenna | Counselor | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2018-12-16 |
| 1811471253 | Kathryn D Kinter | Counselor | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2018-09-21 |
| 1760966170 | Michael Frank Potnek | Nurse Practitioner | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2018-09-20 |
| 1295247237 | Judy A Conti | Nurse Practitioner | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2017-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
| 1386293330 | Rachel Mae Nelson Bagha | Student in an Organized Health Care Education/Training Program | 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 | 2019-09-11 |
| 1164085205 | Mary Sue Daase Bowen | Counselor | 2821 N 4th Street, Milwaukee, WI 53212 | 2019-04-15 |
| 1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
| 1710447701 | Scott William Stauder | Student in an Organized Health Care Education/Training Program | 1121 E. North Ave., Milwaukee, WI 53212 | 2019-03-25 |
| 1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
| 1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
| 1093285140 | Megan Marie Volp | Advanced Practice Midwife | 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 | 2018-12-03 |
| Find all providers in zip 53212 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203857 | Tiera Manuel | Nurse Practitioner | 3956 N 28th St, Milwaukee, WI 53216-2637 | 2020-10-22 |
| 1801494778 | Tajana Jovicic | Nurse Practitioner | 3157 S 66th St, Milwaukee, WI 53219-4105 | 2020-10-13 |
| 1093320459 | Tyronda T Gray | Nurse Practitioner | 5833 N 117th St, Milwaukee, WI 53225-2207 | 2020-09-12 |
| 1861005837 | Clair Roser Rivera | Nurse Practitioner | 3734 W Ohio Ave, Milwaukee, WI 53215-4047 | 2020-08-28 |
| 1760003909 | Mary Esson | Nurse Practitioner | 100 N 75th St, Milwaukee, WI 53213-3516 | 2020-04-28 |
| 1487297271 | Mackenna Leslie Hill | Nurse Practitioner | 11002 W Park Pl, Milwaukee, WI 53224-3615 | 2019-10-24 |
| 1093276040 | Danielle L Laczniak | Nurse Practitioner | 3070 N 51st St Fl 6, Milwaukee, WI 53210-1645 | 2019-03-30 |
| 1871066506 | Lisa Ann Parker | Nurse Practitioner | 3237 S 16th St # 208, Milwaukee, WI 53215-4526 | 2019-01-04 |
| 1467922948 | Gretchen Louise Grencer-liegel | Nurse Practitioner | 1555 N Rivercenter Dr Ste 205, Milwaukee, WI 53212-3958 | 2018-11-28 |
| 1871074385 | Mary Teresa Falk | Nurse Practitioner | 2350 N Lake Dr Ste 306, Milwaukee, WI 53211-4528 | 2018-08-23 |
| Find all providers in MILWAUKEE | ||||
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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.