RONDELL L RICHARDSON (NPI# 1578763421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578763421 |
| Entity Type | Individual |
| Full Name | RONDELL L RICHARDSON |
| Credential | CO, BOCP |
| Practice Address |
3210 Prosperity Church Rd Ste 101 Charlotte NC 28269-8194 |
| Mailing Address |
Po Box 373 Harrisburg NC 28075-0373 |
| Practice Telephone | 7045102204 |
| Practice Fax Number | 7045102218 |
| Mailing Telephone | 7046417221 |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2020-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | CO004511 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 224P00000X | Prosthetist | C22362 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3210 PROSPERITY CHURCH RD STE 101 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28269-8194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306874870 | Sonyia Copeland Richardson | Social Worker | 3210 Prosperity Church Rd Ste 101, Charlotte, NC 28269-8194 | 2006-06-30 |
| 1063030062 | Richardson Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 3210 Prosperity Church Rd Ste 101, Charlotte, NC 28269-8194 | 2020-07-07 |
| 1831499516 | Another Level Counseling and Consultation | Counselor | 3210 Prosperity Church Rd Ste 101, Charlotte, NC 28269-8194 | 2010-10-27 |
| 1790963999 | Another Level Counseling and Consultation Pllc | Counselor | 3210 Prosperity Church Rd Ste 101, Charlotte, NC 28269-8194 | 2008-02-11 |
| 1255519799 | Impact Prosthetic Solutions, LLC | Prosthetic/Orthotic Supplier | 3210 Prosperity Church Rd Ste 101, Charlotte, NC 28269-8194 | 2008-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124664438 | Alluring Occupational Therapy Services, Pllc | Occupational Therapy Assistant | 3020-i Prosperity Church Rd, Ste 523, Charlotte, NC 28269 | 2019-11-21 |
| 1366085094 | Crystal R Currie | Counselor | 8824 Cliff Cameron Drive, Uint 107, Charlotte, NC 28269 | 2019-10-25 |
| 1477102879 | Apryl N. Davis | Occupational Therapy Assistant | 3020-i Prosperity Church Rd., Charlotte, NC 28269 | 2019-09-09 |
| 1730744202 | Christopher Paige | Driver | 9805 Statesville Rd., Suite 6198, Charlotte, NC 28269 | 2019-05-09 |
| 1619532892 | Krb Support Services | Prevention Professional | 11634 Oak Street, Charlotte, NC 28269 | 2019-05-03 |
| 1184186769 | Kimberly M Lynch | Local Education Agency (LEA) | 11634 Oat Street, Charlotte, NC 28269 | 2019-04-03 |
| 1356802318 | Arleen M Blythe | Physical Therapy Assistant | 1521 Bucklebury Ct, Charlotte, NC 28269 | 2019-03-30 |
| 1174089064 | Quality Behavioral Health Services, Pllc | Social Worker | 9805 Statesville Rd, # 6095, Charlotte, NC 28269 | 2019-02-15 |
| 1326517855 | Mary Frances Pickens-wilson | Behavior Technician | 4628 Quinton Lane, Charlotte, NC 28269 | 2018-11-14 |
| 1548746605 | Tiffany Michelle Graham | Counselor | 9823 Cooper Run Ln, Charlotte, NC 28269 | 2018-07-12 |
| Find all providers in zip 28269 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356990022 | Porshai Juanice Jackson | Prosthetist | 6341 Derryfield Dr, Charlotte, NC 28213-5532 | 2019-09-05 |
| 1881257046 | Sonja Allen | Prosthetist | 3509 David Cox Rd, Charlotte, NC 28269-2281 | 2019-04-15 |
| 1346803509 | Felicia Nicole Long | Prosthetist | 221 E Exmore St Ste D, Charlotte, NC 28217-1808 | 2019-04-15 |
| 1609439868 | Latarsha Cooper | Prosthetist | 9711 David Taylor Dr Apt 228, Charlotte, NC 28262-2376 | 2019-04-15 |
| 1104399070 | Nattya S Pilgreen | Prosthetist | 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 | 2019-01-03 |
| 1255724423 | Dana Cannon | Prosthetist | 2805 South Blvd, Charlotte, NC 28209-1801 | 2015-03-12 |
| 1912006628 | Mark L Elgart | Prosthetist | 2001 E 7th St, Suite I, Charlotte, NC 28204-3311 | 2006-09-21 |
| 1306496187 | Travis Barlow | Prosthetist | 2826 Randolph Rd Ste 201, Charlotte, NC 28211-1359 | 2019-09-13 |
| 1306334792 | Matthew Earl Glover | Prosthetist | 220 Westinghouse Blvd Ste 405, Charlotte, NC 28273-4260 | 2018-05-01 |
| 1114310281 | Xquisite Xtensions | Prosthetist | 2805 South Blvd, Charlotte, NC 28209-1801 | 2015-03-12 |
| Find all providers in CHARLOTTE | ||||
Please comment or provide details below to improve the information on RONDELL L 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.