Shaconya Richardson (NPI# 1427417153, PAC ID# 2961796511) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1427417153 |
| PAC ID by PECOS | 2961796511 |
| Professional Enrollment ID | I20160804002330 |
| Full Name | Shaconya Richardson |
| Organization Legal Name | AMERICAN URGENT CARE CENTERS, PSC |
| Address |
645 Roy Wilkins Ave Louisville KY 40203-2072 |
| Phone Number | 5025836988 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2466647771 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 645 Roy Wilkins Ave, Louisville, KY 40203-2072 | 5025836988 | AMERICAN URGENT CARE CENTERS, PSC |
| Organization Legal Name | AMERICAN URGENT CARE CENTERS, PSC |
| Physicians | 1 |
| Street Address |
645 ROY WILKINS AVE |
| City | LOUISVILLE |
| State | KY |
| Zip | 40203-2072 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Muhammad I Masroor | Geriatric Medicine | Louisville Geriatric Associates | 1015 Magazine St, Louisville, KY 40203-2017 |
| Brooke A Miller | Nurse Practitioner | Louisville Geriatric Associates | 1015 Magazine St, Louisville, KY 40203-2017 |
| Amy N Ledford | Nurse Practitioner | Louisville Geriatric Associates | 1015 Magazine St, Louisville, KY 40203-2017 |
| Amanda J Wade | Nurse Practitioner | Louisville Geriatric Associates | 1015 Magazine St, Louisville, KY 40203-2017 |
| Kellye Singletary | Psychiatry | Park Duvalle Community Health Center, Inc | 1425 W Broadway, Louisville, KY 40203-2059 |
| Christopher John Florio | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 1425 W Broadway, Louisville, KY 40203-2059 |
| Erica Mahone | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 1425 W Broadway, Louisville, KY 40203-2059 |
| Allison K Broderick | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 1425 W Broadway, Louisville, KY 40203-2059 |
| Carrie A. Frederick | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 1425 W Broadway, Louisville, KY 40203-2059 |
| Tricia Lynn Palmer | Pain Management | American Pain Institute Inc | 645 S Roy Wilkins Ave, Suite 200, Louisville, KY 40203-2072 |
| Find all physicians in zip 40203 | |||
| City | LOUISVILLE |
| Zip Code | 40203 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LOUISVILLE + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.