MR. EDWARD BERNARD RICHBOURG SR. (NPI# 1851564546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851564546 |
| Entity Type | Individual |
| Full Name | MR. EDWARD BERNARD RICHBOURG SR. |
| Credential | BA |
| Practice Address |
654 W Iris Dr Nashville TN 37204-3191 |
| Mailing Address |
421 E Thompson Ln Apt 26 Nashville TN 37211-2610 |
| Practice Telephone | 6152695170 |
| Practice Fax Number | 6152698015 |
| Mailing Telephone | 6153990476 |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
654 W IRIS DR |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37204-3191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881722585 | Rhonda Renee Upchurch | Technician | 654 W Iris Dr, Nashville, TN 37204 | 2007-03-02 |
| 1609196336 | Sherry Denise Hampton | Counselor | 654 W Iris Dr, Nashville, TN 37204-3191 | 2010-06-04 |
| 1922328889 | Robert Jerold Mosley II | Community Health Worker | 654 W Iris Dr, Nashville, TN 37204-3191 | 2010-06-02 |
| 1598092629 | Jessie D Mcdonald II | Community Based Residential Treatment Facility, Mental Illness | 654 W Iris Dr, Nashville, TN 37204-3191 | 2009-11-10 |
| 1932238060 | Donald Louis Boswell | Technician | 654 W Iris Dr, Nashville, TN 37204-3191 | 2007-03-05 |
| 1942338512 | Gloria Jean Massie | Technician | 654 W Iris Dr, Nashville, TN 37204-3191 | 2007-03-02 |
| 1326176025 | Andrea Lyn Kyle | Technician | 654 W Iris Dr, Nashville, TN 37204 | 2007-03-02 |
| 1083742654 | Stacey Lynn Woodson | Technician | 654 W Iris Dr, Nashville, TN 37204 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992304893 | Results-ast Jv, LLC | Physical Therapist | 2659 8th Avenue South, Nashville, TN 37204 | 2020-10-21 |
| 1811516933 | Kinsley Ojukwu | Student in an Organized Health Care Education/Training Program | Oho Primary Care North, 719 Thompson Ln Suite 20400, Nashville, TN 37204 | 2020-04-09 |
| 1649777350 | Ian Bentley | Student in an Organized Health Care Education/Training Program | 719 Thompson Lane, Pod B, Nashville, TN 37204 | 2018-04-09 |
| 1134622160 | Joshua Shane Carty | Student in an Organized Health Care Education/Training Program | 719 Thompson Ln Pod A, Nashville, TN 37204 | 2018-03-15 |
| 1205340197 | Cam LLC | Chiropractor | 2694 Fessey Ct., Nashville, TN 37204 | 2017-11-30 |
| 1679097141 | Lacey Cross | Nurse Practitioner | 2694 Fessey Court, Nashville, TN 37204 | 2017-07-27 |
| 1346763042 | Lucy Elaine Davidson | Counselor | 416 East Iris Dr., Nashville, TN 37204 | 2017-07-25 |
| 1316468358 | Jasmine Kennedy Jester | Counselor | 717 Hart Lane, Nashville, TN 37204 | 2017-06-29 |
| 1447789649 | Jessica Ramey | Counselor | 4623 Trousdale Drive, Nashville, TN 37204 | 2017-06-09 |
| 1023555893 | Anna Claire Lowder | Marriage & Family Therapist | 701 Bradford Avenue, Nashville, TN 37204 | 2017-01-31 |
| Find all providers in zip 37204 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962751 | John Eaton | Technician | 762 Harare Lane, Nashville, NC 27856 | 2019-10-04 |
| 1023667300 | Mary Virginia Wilhoite | Technician | 113 Hart Ln, Nashville, TN 37207-3429 | 2019-09-09 |
| 1194292664 | Brightview Care Solutions, LLC | Technician | 325 Plus Park Blvd Ste 106, Nashville, TN 37217-1058 | 2018-11-01 |
| 1891823571 | Deborah Ann Neisz | Technician | 645 W Iris Dr, Nashville, TN 37204 | 2007-03-02 |
| 1881722585 | Rhonda Renee Upchurch | Technician | 654 W Iris Dr, Nashville, TN 37204 | 2007-03-02 |
| 1053918359 | Rashonda Burns | Technician | 1436 Norvel Ave # A, Nashville, TN 37216-2512 | 2020-10-08 |
| 1972078996 | Alondra Soto | Technician | 717 Hart Ln, Nashville, TN 37216-2007 | 2018-10-05 |
| 1306321344 | Yvonne C. Cartwright | Technician | 3328a Moorewood Dr, Nashville, TN 37207-2111 | 2018-09-25 |
| 1003164401 | Nayoyinka Maria Ann Spencer | Technician | 717 Hart Ln, Nashville, TN 37216-2007 | 2012-08-16 |
| 1932238060 | Donald Louis Boswell | Technician | 654 W Iris Dr, Nashville, TN 37204-3191 | 2007-03-05 |
| Find all providers in NASHVILLE | ||||
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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.