MARY CONSTANCE RICHARDSON


Address: 345 23rd Ave N Ste 212, Nashville, TN 37203-1513
Phone: 6159639200

MARY CONSTANCE RICHARDSON (NPI# 1588047583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588047583
Entity Type Individual
Full Name MARY CONSTANCE RICHARDSON
Other Name CONNIE RICHARDSON
Credential PA-C
Practice Address 345 23rd Ave N Ste 212
Nashville
TN 37203-1513
Mailing Address 608 Norris Ave
Nashville
TN 37204-3708
Practice Telephone 6159639200
Practice Fax Number 6159639201
Mailing Telephone 6156951432
Mailing Fax Number 6156951483
Enumeration Date 2015-07-08
Last Update Date 2018-01-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 2819 TN Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
2819 TN Physician Assistants & Advanced Practice Nursing Providers

Other Providers MARY RICHARDSON

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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

Office Location

Street Address 345 23RD AVE N STE 212
City NASHVILLE
State TN
Zip Code 37203-1513

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265031843 Results-ast Jv, LLC Physical Therapist 1000 Church Street, Nashville, TN 37203 2020-10-23
1922607159 Results-ast Jv, LLC Physical Therapist 222 22nd Avenue North, Suite 100, Nashville, TN 37203 2020-10-19
1427663152 Amber Nicole Fox Nurse Practitioner 2300 Patterson Street-endo Dept, Nashville, TN 37203 2020-09-10
1144839648 Tasha Yarris Nurse Practitioner 412 Dr D.b. Todd Jr Blvd., Nashville, TN 37203 2020-07-30
1013536655 Colby Wollenman Student in an Organized Health Care Education/Training Program Vanderbilt Orthopaedic Institute 1215 21st Ave S, Medical Center East, South Tower, Suite 4200, Nashville, TN 37203 2020-04-14
1477193738 Ames Center for Counseling LLC Social Worker 1900 Church Street #300, Nashville, TN 37203 2020-01-14
1750922498 Lisa Michelle Gregory Beck Nurse Practitioner 2221 Murphy Avenue, Nashville, TN 37203 2019-10-03
1235634023 Jackson Primary Care Family Medicine 2010 Church St Ste 526, Nashville, TN 37203 2018-03-26
1932614237 Caitlin Butcher Social Worker 402 22nd Ave North, Nashville, TN 37203 2017-12-08
1780194068 Casey Lynn O'quinn Behavioral Analyst 2108 Hayes St, Nashville, TN 37203 2017-10-02
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841690096 Arun Alex Physician Assistant 7277 Charlotte Pike Unit 211, Nashville, TN 37209-5041 2014-08-25
1144463936 Marcus S. Burns Physician Assistant 2010 Church St Ste 700, Nashville, TN 37203-2072 2009-04-09
1154425627 Kevin Chalaron Barry Physician Assistant 203 Mason Ave Apt 6, Nashville, TN 37203-1119 2006-09-12
1851384473 Timothy James Hornyak Physician Assistant 1310 24th Ave S, Nashville, TN 37212-2637 2005-08-30
1841899879 Hughston Clinic Southeast,pc Physician Assistant 3443 Dickerson Pike Ste 190, Nashville, TN 37207-2533 2020-10-21
1891255022 Matthew Steven Hawkins Physician Assistant 1912 Charlotte Ave, Nashville, TN 37203-2107 2019-03-22
1598231060 Jessica Uvarov Physician Assistant 1912 Charlotte Ave, Nashville, TN 37203-2107 2018-10-22
1154863298 Andrew Charles Cressman Physician Assistant 2400 Patterson St, Suite 300, Nashville, TN 37203-1562 2016-11-07
1174990899 Ap of Nashville, LLC Physician Assistant 2000 Glen Echo Rd Ste 111, Nashville, TN 37215-2857 2015-08-28
1326440199 Amanda Dreve Physician Assistant 3443 Dickerson Pike Ste 190, Nashville, TN 37207-2533 2014-09-23
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Competitor

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City NASHVILLE
Zip Code 37203

Improve Information

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Dataset Information

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.

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