MRS. BETTY RICHARDSON (NPI# 1023067766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023067766 |
| Entity Type | Individual |
| Full Name | MRS. BETTY RICHARDSON |
| Credential | CNFP |
| Practice Address |
421 Marion Ave Mccomb MS 39648-2709 |
| Mailing Address |
1007 W Congress St Brookhaven MS 39601-2603 |
| Practice Telephone | 6016846891 |
| Practice Fax Number | 6012493834 |
| Mailing Telephone | 6018339388 |
| Mailing Fax Number | 6018339495 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2016-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R135080 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00119592 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871790634 | Betty Lou Richardson | Marriage & Family Therapist | 5207 Doe Valley Ln, Austin, TX 78759-7103 | 2007-06-27 |
| 1992207591 | Betty Jean Richardson | Pharmacist | 10130 Sorrento Valley Rd, San Diego, CA 92121-1643 | 2018-02-28 |
| Street Address |
421 MARION AVE |
| City | MCCOMB |
| State | MS |
| Zip Code | 39648-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962451294 | Renie Jordon | Internal Medicine | 421 Marion Ave, Mccomb, MS 39648-2709 | 2006-05-05 |
| 1316491012 | Laura-jean Brooks | Nurse Practitioner | 421 Marion Ave, Mccomb, MS 39648-2709 | 2016-08-10 |
| 1336198712 | Southwest Mississippi Regional Medical Center | Clinic/Center | 421 Marion Ave, Mccomb, MS 39648-2709 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910366 | Ct Stamps Inc | Pharmacy | 206 Marion Avenue, Mccomb, MS 39648 | 2020-07-31 |
| 1952910457 | Fresenius Medical Care East Mccomb Dialysis, LLC | Clinic/Center | 103 Business Center Drive, Mccomb, MS 39648 | 2020-07-30 |
| 1902423312 | Joseph Edward Mingo II | Counselor | 513 Lee St, Mccomb, MS 39648 | 2020-07-01 |
| 1427608769 | Benda Truvillion | Technician | 2128 Park Dr. Ext., Mccomb, MS 39648 | 2019-09-18 |
| 1295228187 | Edna Ruth Winston | Counselor | Sw Ms Mental Health Complex, 1701 White St, Mccomb, MS 39648 | 2018-06-14 |
| 1386153450 | Sholitha Nunnery | Counselor | 502 North Cherry Street, Mccomb, MS 39648 | 2017-09-21 |
| 1548600612 | Jordan Harrington | Nurse Practitioner | 303 Marion Ave., Mccomb, MS 39648 | 2013-07-03 |
| 1891096236 | Zwound Care | Family Medicine | 1126 Country Club Road, Mccomb, MS 39648 | 2010-11-16 |
| 1588891717 | Kelly Edmondson | Physical Therapy Assistant | 1301a Harrison Ave, Mccomb, MS 39648 | 2009-06-15 |
| 1962647651 | Gwendolyn Michelle Brown | Home Health Aide | 1114 1/2 Venable St., Mccomb, MS 39648 | 2008-12-09 |
| Find all providers in zip 39648 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635166 | Alisa Britney Kelley | Nurse Practitioner | 1023 Chesterfield Dr, Mccomb, MS 39648-9560 | 2020-07-04 |
| 1619530425 | Latoya R Cameron | Nurse Practitioner | 1080 Great Point Rd, Mccomb, MS 39648-4753 | 2019-04-17 |
| 1548763980 | Coeva Barnes Gatlin | Nurse Practitioner | 220 W Georgia Ave, Mccomb, MS 39648-3222 | 2018-03-12 |
| 1821505769 | Tonya Brister | Nurse Practitioner | 521 Marion Ave, Mccomb, MS 39648-2009 | 2017-12-31 |
| 1982012548 | John Harvey | Nurse Practitioner | 1015 Delaware Ave # C, Mccomb, MS 39648-3827 | 2014-07-28 |
| 1548600612 | Jordan Harrington | Nurse Practitioner | 303 Marion Ave., Mccomb, MS 39648 | 2013-07-03 |
| 1942384607 | Helen Chao Whittington | Nurse Practitioner | 908 Delaware Ave, Suite B, Mccomb, MS 39648-3826 | 2006-10-25 |
| 1881797330 | Terrilyn Lewis | Nurse Practitioner | 405 Marion Ave, Mccomb, MS 39648-2709 | 2006-09-07 |
| 1962451302 | Llewellyn Coon | Nurse Practitioner | 1015 Delaware Ave Ste C, Mccomb, MS 39648-3827 | 2006-05-10 |
| 1831799022 | Carrie Lee Fernald | Nurse Practitioner | 215 Marion Ave, Mccomb, MS 39648-2705 | 2020-10-28 |
| Find all providers in MCCOMB | ||||
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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.