1508851544 NPI number — AMY KRISTINE RICHARDSON DPM

Table of content: AMY KRISTINE RICHARDSON DPM (NPI 1508851544)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508851544 NPI number — AMY KRISTINE RICHARDSON DPM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RICHARDSON
Provider First Name:
AMY
Provider Middle Name:
KRISTINE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DPM
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508851544
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16701 CLEVELAND ST STE C
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
REDMOND
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98052-0901
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
425-658-0658
Provider Business Mailing Address Fax Number:
425-658-5303

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16701 CLEVELAND ST STE C
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
REDMOND
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98052-0901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-658-0658
Provider Business Practice Location Address Fax Number:
425-658-5303
Provider Enumeration Date:
09/15/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X , with the licence number:  PO00000741 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 8349482 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: P00035081 . This is a "RAILROAD MEDICARE PROVIDER NUMBER" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 2078791 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: CJ4574 . This is a "RAILROAD MEDICARE GROUP" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".




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