KIMBERLY RUTH RICHARDSON (NPI# 1609273358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609273358 |
| Entity Type | Individual |
| Full Name | KIMBERLY RUTH RICHARDSON |
| Practice Address |
1012 E Cherry St Altus OK 73521-6402 |
| Practice Telephone | 5804716332 |
| Mailing Telephone | 5804716332 |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2014-11-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568028355 | Kimberly Dawn Richardson | Licensed Practical Nurse | 9213 Ne 10th St, Midwest City, OK 73130-1317 | 2019-05-16 |
| 1033613336 | Kimberly Rose Richardson | Registered Nurse | Atlantic General Hospital, 9733 Healthway Dr, Berlin, MD 21811 | 2018-03-21 |
| 1982158564 | Kimberly Richardson | Non-emergency Medical Transport (VAN) | 2224 Marshall Ave, Apt A, Norfolk, VA 23504-2636 | 2016-08-11 |
| 1154661338 | Kimberly Richardson | Counselor | 6100 Woodbridge Rd, Oklahoma City, OK 73162-3219 | 2013-02-25 |
| 1063707149 | Kimberly Jaynette Richardson | Internal Medicine | Division of General & Geriatric Medicine, University Of, 3901 Rainbow Blvd, 6040 Delp, Ms 1020, Kansas City, KS 66160-0001 | 2011-06-16 |
| 1467786376 | Kimberly Ann Richardson | Hearing Instrument Specialist | 9640 N May Ave, Oklahoma City, OK 73120-2714 | 2009-09-24 |
| 1831332899 | Kimberly Marie Richardson | Counselor | 1010 2nd St, Apt # 6, Cheney, WA 99004-1770 | 2009-04-07 |
| 1205983418 | Kimberly Donn Rogers Richardson | Physical Therapist | 607 Rolling Green Dr, Lakeway, TX 78734-5224 | 2007-01-03 |
| 1952407553 | Kimberly Richardson | Nurse Practitioner | 315 E Olympia Ave Unit 111, Punta Gorda, FL 33950-3823 | 2006-09-15 |
| 1609434596 | Kimberly S Richardson | Case Manager/Care Coordinator | 5305 Greenwood Ave Ste 103, West Palm Beach, FL 33407-2448 | 2019-06-05 |
| Street Address |
1012 E CHERRY ST |
| City | ALTUS |
| State | OK |
| Zip Code | 73521-6402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982263752 | Shortgrass Community Health Center, Inc | Clinic/Center | 211 East Broadway, Altus, OK 73521 | 2019-06-06 |
| 1598025827 | Dustin James Robins | Counselor | 1052 E Cherry St, Altus, OK 73521 | 2012-05-21 |
| 1831471101 | Manda Lea Stephens | Nurse Practitioner | 205 S. Park Lane, Altus, OK 73521 | 2011-09-13 |
| 1649439167 | Lisa Michelle Shelton | Pharmacist | 2500 N Main, Altus, OK 73521 | 2008-06-09 |
| 1114192911 | Richard G. Henry | Health Maintenance Organization | 112 Val Verde, Altus, OK 73521 | 2008-04-23 |
| 1194881060 | Resters Diabetic Shoes and Home Medical | Durable Medical Equipment & Medical Supplies | 103 West Commerce Street, Altus, OK 73521 | 2006-12-28 |
| 1265592141 | Noble L Ballard.medical Clinic, Pllc | Family Medicine | 1015 East Broadway Street, Stuite 101, Altus, OK 73521 | 2006-12-11 |
| 1457377822 | Comanche County Healthcare | Family Medicine | 3000 N Main St, Suite A, Altus, OK 73521 | 2006-07-15 |
| 1326095381 | Charles C Carter Md Dph Pllc | Family Medicine | 1015 E Broadway St, Suite 102, Altus, OK 73521 | 2006-05-27 |
| 1013988179 | Carol Marie Sherman | Family Medicine | 205 S Park Ln, Altus, OK 73521 | 2006-01-27 |
| Find all providers in zip 73521 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104810 | Kellye F Green | Peer Specialist | 111 N Hudson St, Altus, OK 73521-3811 | 2020-08-13 |
| 1366948895 | Melody Dianne Tollison | Peer Specialist | 111 N Hudson St, Altus, OK 73521-3811 | 2018-04-03 |
| 1043748361 | Joshua Caleb Lorah | Peer Specialist | 123 W Commerce St Fl 5, Altus, OK 73521-3850 | 2017-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972537 | Tamra Lynn Cunningham | Peer Specialist | 764 Sherwin Ave, Ponca City, OK 74604-6112 | 2020-11-05 |
| 1699375691 | Martha Isabel Zapata | Peer Specialist | 5740 E 72nd Ct, Tulsa, OK 74136-7202 | 2020-10-28 |
| 1376143883 | Tina Marie Lopez | Peer Specialist | 933 N Oak St, Ponca City, OK 74601-3218 | 2020-10-26 |
| 1518566264 | Vincent Oaks Cox | Peer Specialist | 3585 S 439, Pryor, OK 74361-9346 | 2020-10-23 |
| 1558960146 | Sarah Elizabeth Walters | Peer Specialist | 2139 W Jasper St Apt B1, Broken Arrow, OK 74011-8028 | 2020-10-23 |
| 1861091548 | Ryan Vanmeter | Peer Specialist | 1965 Ladera Ln, Edmond, OK 73034-9787 | 2020-10-22 |
| 1255930038 | Brandon Loyd Hopkins | Peer Specialist | 446 S Scraper St, Vinita, OK 74301-4250 | 2020-10-22 |
| 1225637366 | Crystal Dawn Adams | Peer Specialist | 200 N Sante Fe Ave, Bartlesville, OK 74003 | 2020-10-20 |
| 1194324491 | Judith Anne Young | Peer Specialist | 3934 Se 27th St, Del City, OK 73115-2620 | 2020-10-19 |
| 1407455892 | Kristen Michelle Stock | Peer Specialist | 804 N Dryden Cir, Stillwater, OK 74075-7108 | 2020-10-18 |
| 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.