POLLY H RICHARDSON (NPI# 1053391003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053391003 |
| Entity Type | Individual |
| Full Name | POLLY H RICHARDSON |
| Credential | ARNP |
| Practice Address |
2100 124th Ave Ne Bellevue WA 98005-1934 |
| Mailing Address |
2302 200th Ave Se Sammamish WA 98075-7484 |
| Practice Telephone | 4255566300 |
| Mailing Telephone | 4253917571 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP30007218 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DEA | MR1357258 | 01 |
| WA | ARNP | AP30007218 | 01 |
| Street Address |
2100 124TH AVE NE |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98005-1934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851715015 | Keelan Akiyoshi Suzuki | Acupuncturist | 2100 124th Ave Ne, Suite #111, Bellevue, WA 98005-1934 | 2014-02-08 |
| 1326162157 | Kathleen Santini | Counselor | 2100 124th Ave Ne, Ste 110, Bellevue, WA 98005 | 2007-03-19 |
| 1942345475 | David W Vandegrift | Social Worker | 2100 124th Ave Ne, Suite 110, Bellevue, WA 98005-1934 | 2007-02-21 |
| 1154466514 | Sigrun Schaudies | Physical Therapist | 2100 124th Ave Ne, Suite 110, Bellevue, WA 98005-1934 | 2007-02-21 |
| 1558405415 | Connie Anderson Wickland | Physical Therapist | 2100 124th Ave Ne, Suite 110, Bellevue, WA 98005-1934 | 2007-02-16 |
| 1699818229 | Stephen L Smith | Internal Medicine | 2100 124th Ave Ne, Suite 110, Bellevue, WA 98005-1934 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194161 | Move Well, Be Well Pllc | Clinic/Center | 11900 Ne 1st Street, Suite 3106, Bellevue, WA 98005 | 2020-05-06 |
| 1649899410 | Wen-fang Ku | Acupuncturist | 13555 Bel-red Rd, Suite 110, Bellevue, WA 98005 | 2020-04-13 |
| 1558901801 | Janelle Morris | Behavior Technician | 12729 Northup Way, Suite 9, Bellevue, WA 98005 | 2020-01-14 |
| 1912467234 | Amanda Gallardo | Behavior Technician | 13333 Bel Rd Suite 100, Bellevue, WA 98005 | 2019-03-22 |
| 1639637903 | Oxana I Varvaryuk | Massage Therapist | 606 120th Ave Ne, Suite D104, Bellevue, WA 98005 | 2019-03-06 |
| 1609346246 | Bhavjit Kaur Mangat | Optometrist | 1808 Richards Rd Suite 110, Bellevue, WA 98005 | 2018-11-27 |
| 1386138907 | Amanda Frances Ellis | Dietitian, Registered | 915 118th Ave Se, Attention Alecia Johnson, Ret Physica, Suite 110, Bellevue, WA 98005 | 2018-06-18 |
| 1093227654 | Jinda Chaijinda | Naturopath | 13353 Bel-red Road Suite A105, Bellevue, WA 98005 | 2017-11-03 |
| 1962927038 | Laura Jo Zuker Olsen | Optometrist | 13401 Bel-red Rd Ne, Suite A4 - Bellevue Vision Clinic, Bellevue, WA 98005 | 2017-08-09 |
| 1336678697 | Yong Huang | Massage Therapist | 12505 Bel-red Road, Suite 188, Bellevue, WA 98005 | 2017-06-08 |
| Find all providers in zip 98005 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841835782 | Toni M Keel | Nurse Practitioner | 11120 Ne 33rd Pl Ste 202, Bellevue, WA 98004-1444 | 2019-11-14 |
| 1346800026 | Mary M Meyers | Nurse Practitioner | 6 Grant Ave # G8, Bellevue, PA 15202-3858 | 2019-06-16 |
| 1477061844 | Cascade Allergy Center | Nurse Practitioner | 14205 Se 36th St Ste 365, Bellevue, WA 98006-1596 | 2018-01-18 |
| 1184922874 | Prisca Nwizugbo | Nurse Practitioner | 1800 112th Ave Ne Ste 150, Bellevue, WA 98004-2993 | 2011-03-04 |
| 1679660658 | Tara Lynn Hicks | Nurse Practitioner | 1420 156th Ave Ne, Bellevue, WA 98007-4421 | 2006-10-09 |
| 1497733620 | Susan E Stone | Nurse Practitioner | 1120 112th Ave Ne, Suite 150, Bellevue, WA 98004-4500 | 2006-01-06 |
| 1558359984 | Linda M Fluke | Nurse Practitioner | 1200 112th Ave Ne, Ste C160, Bellevue, WA 98004-3732 | 2005-10-10 |
| 1639784259 | Olivia Bordiuk | Nurse Practitioner | 2424 156th Ave Ne, Bellevue, WA 98007-3814 | 2020-09-10 |
| 1760885701 | Heidi S Gilmore | Nurse Practitioner | 13231 Se 36th St Ste 110, Bellevue, WA 98006-7321 | 2014-10-06 |
| 1285036228 | Olga Abramova | Nurse Practitioner | 1515 116th Ave Ne Ste 205, Bellevue, WA 98004-3811 | 2014-09-22 |
| Find all providers in BELLEVUE | ||||
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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.