RACHEL RICHARDSON


Address: 1122 E Main St, Suite 4, Philadelphia, MS 39350-2348
Phone: 6016569900

RACHEL RICHARDSON (NPI# 1790173599) 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) 1790173599
Entity Type Individual
Full Name RACHEL RICHARDSON
Practice Address 1122 E Main St
Suite 4
Philadelphia
MS 39350-2348
Practice Telephone 6016569900
Practice Fax Number 6016569908
Mailing Telephone 6016569900
Mailing Fax Number 6016569908
Enumeration Date 2014-12-31
Last Update Date 2014-12-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R866059 MS Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS NP LICENSE NUMBER R866059 01

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Office Location

Street Address 1122 E MAIN ST
SUITE 4
City PHILADELPHIA
State MS
Zip Code 39350-2348

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639157829 Laboratory Corporation of America Holdings Clinical Medical Laboratory 1122 E Main St, Philadelphia, MS 39350-2329 2006-01-06
1164727269 Tonia Holley Nurse Practitioner 1122 E Main St, Suite 4, Philadelphia, MS 39350-2348 2011-01-20
1801082409 Heather Cannon Family Medicine 1122 E Main St, Suite 4, Philadelphia, MS 39350-2348 2007-09-18
1275621211 Neshoba County General Hospital Clinic/Center 1122 E Main St, Suite 4, Philadelphia, MS 39350-2348 2006-10-11
1366541872 Julia E Riley Pediatrics 1122 E Main St, Neshoba Pediatrics Suite 6, Philadelphia, MS 39350-2348 2006-09-21
1871522797 Hilton M Fairchild Family Medicine 1122 E Main St, Suite 4, Philadelphia, MS 39350-2348 2006-07-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548817133 Airpark Family Dentistry Dentist 1060 Holland Avenue, Philadelphia, MS 39350 2019-08-20
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1144759580 Mapp Home Care Services In Home Supportive Care 41 Eastover Dr, Philadelphia, MS 39350 2017-06-08
1710411707 Rcg Mississippi, Inc. Clinic/Center 1100 Central Drive, Philadelphia, MS 39350 2017-04-17
1114339405 Bernard Oneal Adult Companion 10090 Rd 0022, None, Philadelphia, MS 39350 2014-05-21
1417213323 Region Ten Commision On Mental Health Clinic/Center 1011 Posey Avenue, Philadelphia, MS 39350 2012-04-04
1851427132 Performance Therapy LLC Physical Therapist Performance Therapy, LLC, 921 W Beacon Street, Philadelphia, MS 39350 2007-02-23
1922161900 Ernest Barton Cross Audiologist 1120 East Main Street, Suite 4, Philadelphia, MS 39350 2006-12-19
1649348129 Augustus P Soriano Family Medicine 517 Center Avenue, Philadelphia, MS 39350 2006-12-01
1982777983 Bill G Molpus Dentist 247 Byrd Ave, Philadelphia, MS 39350 2006-11-16
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City PHILADELPHIA
Zip Code 39350

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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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