MARY LEE RICHARDSON (NPI# 1407455959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407455959 |
| Entity Type | Individual |
| Full Name | MARY LEE RICHARDSON |
| Practice Address |
1591 Glenn Pl Sw Mableton GA 30126-1170 |
| Practice Telephone | 2167027316 |
| Mailing Telephone | 2167027316 |
| Enumeration Date | 2020-10-25 |
| Last Update Date | 2020-10-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962964064 | Mary Richardson | Speech-Language Pathologist | 5930 Hallowell Pl, Fort Wayne, IN 46815-6214 | 2019-04-05 |
| 1588047583 | Mary Constance Richardson | Physician Assistant | 345 23rd Ave N Ste 212, Nashville, TN 37203-1513 | 2015-07-08 |
| 1538595376 | Mary Richardson | Behavioral Analyst | 7906 Bayonet Cir Apt C, Colorado Springs, CO 80902 | 2013-09-25 |
| 1588007132 | Mary Richardson | Physical Therapy Assistant | 211 Wood Ridge Ln, Lowgap, NC 27024-8909 | 2013-04-14 |
| 1235325952 | Mary Sue Richardson | Psychologist | 324 W 71st St, New York, NY 10023-3528 | 2007-09-17 |
| 1790803161 | Mary Lou Richardson | Dentist | 216 Mayfair Dr, Rocky Mt, NC 27804-3072 | 2007-03-26 |
| 1538209176 | Mary Anne Richardson | Midwife | 613 Shadycrest Ln, Franklin, TN 37064-5110 | 2007-02-06 |
| 1265579908 | Mary Isabel Richardson | Marriage & Family Therapist | 30246 Shoreline Dr, Menifee, CA 92584-8009 | 2007-01-31 |
| 1114076866 | Mary Lynn Richardson | Physical Therapist | 1310 Baker St, Longmont, CO 80501 | 2007-01-10 |
| 1528044492 | Mary Richardson | Nurse Practitioner | 236 E Westfield Ave, Roselle Park, NJ 07204-2084 | 2005-12-21 |
| Street Address |
1591 GLENN PL SW |
| City | MABLETON |
| State | GA |
| Zip Code | 30126-1170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083256804 | Thelwell Immediate Care Clinic Inc | Clinic/Center | 1400 Veterans Memorial Highway Se Suite 134 #176, Mableton, GA 30126 | 2019-10-14 |
| 1467011049 | Iora Senior Health, Inc. | Internal Medicine | 5015 Floyd Rd, Suite 710, Mableton, GA 30126 | 2019-06-07 |
| 1649677626 | Wonderfully Made Wellness, Inc. | Specialist | 464 Vinings Vintage Circle Se, Mableton, GA 30126 | 2014-11-19 |
| 1811240633 | The Adult Resource Coalition | Community/Behavioral Health | 609 Hunnicut Rd, Mableton, GA 30126 | 2012-10-17 |
| 1922389253 | American Current Care Pa | Clinic/Center | 1025 Veterans Memorial, Mableton, GA 30126 | 2011-08-31 |
| 1558504308 | Eddie Joe Turner Jr. | Emergency Medicine | 4855 Floyd Rd Sw, Mableton, GA 30126 | 2009-04-09 |
| 1285881227 | Community Dental Services Inc | Dentist | 5761 Mableton Parkway, Mableton, GA 30126 | 2008-08-21 |
| 1396932281 | Kevin Duane Larry | Counselor | 1119 Silvergate Ln, Mableton, GA 30126 | 2007-09-25 |
| 1164634440 | Mableton Dental Inc | Dentist | 5841 Mableton Pkwy, Mableton, GA 30126 | 2007-05-07 |
| 1104038686 | Charles L Davenport Jr. | Pharmacist | 558 Ivey Way S.e., Mableton, GA 30126 | 2007-05-04 |
| Find all providers in zip 30126 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871151621 | Katherine Anne Fisher | Specialist/Technologist | 6440 Queens Court Trce, Mableton, GA 30126-7227 | 2019-06-05 |
| 1225511181 | Rachel Merkel | Specialist/Technologist | 728 Vinings Estates Dr Se, Mableton, GA 30126-5927 | 2018-09-07 |
| 1043757842 | Caroline Bailey Fawcett | Specialist/Technologist | 430 Chrispen Trce Sw, Mableton, GA 30126-1470 | 2017-01-31 |
| 1326128299 | Kristi L. Mounts | Specialist/Technologist | 1 Whitefield Dr Se, Mableton, GA 30126-5236 | 2006-10-16 |
| 1720569627 | Hilary Faith Adams | Specialist/Technologist | 1 Whitefield Dr Se, Mableton, GA 30126-5236 | 2018-08-28 |
| 1417458282 | Brian Xu | Specialist/Technologist | 1 Whitefield Dr Se, Mableton, GA 30126-5236 | 2018-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332914 | Cayla Mckeon | Specialist/Technologist | 11 W 11th St Apt 17, Columbus, GA 31901-4239 | 2020-10-06 |
| 1205442472 | Si'ara Washington Farris | Specialist/Technologist | 564 Hillandale Park Dr, Lithonia, GA 30058-8833 | 2020-09-22 |
| 1033723150 | Grant Pheil | Specialist/Technologist | 3523 Old Penia Rd, Cordele, GA 31015-7714 | 2020-09-04 |
| 1376157933 | Jesus E Aviles | Specialist/Technologist | 755 Battery Ave Se, Atlanta, GA 30339-3017 | 2020-09-01 |
| 1588276943 | Jaden T Harris | Specialist/Technologist | 2205 Moncrieff St, Augusta, GA 30906-8905 | 2020-08-18 |
| 1891306437 | Tinasia Smalls | Specialist/Technologist | 100 Woodland Dr Apt 1416, Statesboro, GA 30458-6365 | 2020-08-16 |
| 1407467590 | Samantha Jean Libby | Specialist/Technologist | 2550 Akers Mill Rd Se Apt F14, Atlanta, GA 30339-3271 | 2020-08-12 |
| 1083224224 | John Christopher Hamil | Specialist/Technologist | 812 S Park St Ste 1, Carrollton, GA 30117-4412 | 2020-08-03 |
| 1780294926 | Andrew Alcantar | Specialist/Technologist | 7340 Fairmount Hwy Se, Calhoun, GA 30701-4023 | 2020-08-03 |
| 1285243659 | Julie Landrigan | Specialist/Technologist | 2918 Fenwick Village Dr, Savannah, GA 31419-8474 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
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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.