MS. SHACONYA RICHARDSON (NPI# 1427417153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427417153 |
| Entity Type | Individual |
| Full Name | MS. SHACONYA RICHARDSON |
| Practice Address |
645 S Roy Wilkins Ave Louisville KY 40203-2072 |
| Mailing Address |
510 Spring Street Jefferson IN 47130 |
| Practice Telephone | 5025836990 |
| Mailing Telephone | 8122821888 |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2020-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
3010019 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
28196212A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 3010019 | 05 |
| Street Address |
645 S ROY WILKINS AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40203-2072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821048513 | Suhail I Haque | Anesthesiology | 645 S Roy Wilkins Ave, Louisville, KY 40203-2072 | 2006-05-11 |
| 1275143125 | Saleha Khan | Counselor | 645 S Roy Wilkins Ave, Louisville, KY 40203-2072 | 2020-08-05 |
| 1316557432 | Mary Rebekah Davis | Counselor | 645 S Roy Wilkins Ave, Louisville, KY 40203-2072 | 2020-08-04 |
| 1740648500 | Melissa Patterson | Nurse Practitioner | 645 S Roy Wilkins Ave, Louisville, KY 40203-2072 | 2016-02-08 |
| 1063885358 | American Pain Institute Inc | Pharmacy | 645 S Roy Wilkins Ave, Louisville, KY 40203-2072 | 2015-11-09 |
| 1700262052 | Amber Alexander | Nurse Practitioner | 645 S Roy Wilkins Ave, Ste 200, Louisville, KY 40203-2072 | 2015-08-09 |
| 1487030474 | Felissa Patterson Williams | Nurse Practitioner | 645 S Roy Wilkins Ave, Louisville, KY 40203-2072 | 2015-08-03 |
| 1932524386 | Louisville Vascular Care LLC | Radiology | 645 S Roy Wilkins Ave, Louisville, KY 40203-2072 | 2014-02-21 |
| 1386085157 | Loretta Benita Shunk | Nurse Practitioner | 645 S Roy Wilkins Ave, Louisville, KY 40203-2072 | 2013-07-09 |
| 1205189446 | American Pain Institute, Inc | Anesthesiology | 645 S Roy Wilkins Ave, Louisville, KY 40203-2072 | 2012-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295211738 | Integrated Health Systems LLC | Psychiatry & Neurology | 645 S Roy Wilkins Ave Ste 300, Louisville, KY 40203 | 2018-07-18 |
| 1104317734 | Usimc of West Virginia Medical Corporation | Clinic/Center | 908 W Broadway Fl 8, Louisville, KY 40203 | 2018-05-18 |
| 1699296293 | Jennifer Christine Angermeier | Nurse Practitioner | 1130 W Chestnut St, Louisville, KY 40203 | 2017-07-05 |
| 1083162812 | Deloris Jean Johnson | Social Worker | 1022 South 6th Street, Louisville, KY 40203 | 2016-09-21 |
| 1770978512 | Michael Bricken | Pediatrics | 760 S Hancock St # B100, Louisville, KY 40203 | 2015-03-30 |
| 1770906885 | Jason Scott Underhill | Counselor | 214 E Breckinridge St, Louisville, KY 40203 | 2014-01-24 |
| 1316372592 | Tonya Alicia Clay | Marriage & Family Therapist | 1000 South 5th Street, Family & Children's Place, Louisville, KY 40203 | 2013-09-06 |
| 1780929216 | Harambee Health Center, Inc | Clinic/Center | 800 South Preston St., Louisville, KY 40203 | 2012-12-10 |
| 1083977276 | Synergy Rehabilitation, Inc. | Physical Therapist | 832 S. 6th Street, Suite C, Louisville, KY 40203 | 2012-06-21 |
| 1043572803 | Sonya Helen Mitchell | Counselor | 2225 W. Broadway, Louisville, KY 40203 | 2012-06-07 |
| Find all providers in zip 40203 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594385 | Christine Young | Nurse Practitioner | 6804 Bainbridge Ct, Louisville, KY 40228-2335 | 2020-10-07 |
| 1255948154 | Kathleen B Berghausen | Nurse Practitioner | 4112 Fern Valley Rod, Louisville, KY 40219 | 2020-09-25 |
| 1285243477 | Stephanie Atherton | Nurse Practitioner | 1623 Story Ave, Louisville, KY 40206 | 2020-07-24 |
| 1235768037 | Patricia Amber Estes | Nurse Practitioner | 234 E Gray St Ste 154, Louisville, KY 40202-1903 | 2020-04-03 |
| 1659903201 | Farrah Alayne Thornsberry | Nurse Practitioner | 1400 Browns Ln Ste B, Louisville, KY 40207-4696 | 2020-02-11 |
| 1376101634 | Erin Lee Srader | Nurse Practitioner | 544 Baxter Ave, Louisville, KY 40204-1784 | 2019-06-03 |
| 1104387752 | Kurt F Kristiansen | Nurse Practitioner | 1862 Douglass Blvd, Louisville, KY 40205-1851 | 2019-03-27 |
| 1831573351 | Karen P Black | Nurse Practitioner | 4504 Spring Bay Ct, Louisville, KY 40241-1773 | 2015-07-14 |
| 1366787798 | Kennetha Porter | Nurse Practitioner | 4710 Champions Trace Ln Ste 102, Louisville, KY 40218-3496 | 2012-12-12 |
| 1407104128 | Tammy Rowland Reddington | Nurse Practitioner | 4004 Hurstbroune Woods Drive, Louisville, KY 40299 | 2012-08-28 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40203 |
Please comment or provide details below to improve the information on MS. SHACONYA 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.