MS. DIANE L RICHARDSON (NPI# 1063874733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063874733 |
| Entity Type | Individual |
| Full Name | MS. DIANE L RICHARDSON |
| Credential | NP |
| Practice Address |
1493 Whittier St Raton NM 87740-2334 |
| Mailing Address |
6660 Delmonico Drive Unit D119 Colorado Springs CO 80919-1899 |
| Practice Telephone | 5054452391 |
| Mailing Telephone | 5754452391 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2019-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN.0993161-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
5008447 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP3828 | 05 | |
| NC | 1063874733 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093781858 | Diane K Richardson | Nurse Practitioner | 141 Port Sheldon Rd Sw, Grandville, MI 49418-2149 | 2006-02-23 |
| 1730742834 | Diane Richardson | Social Worker | 3500 Westgate Dr Ste 604, Durham, NC 27707-2534 | 2019-04-15 |
| 1245632082 | Diane Richardson | Counselor | 108 Alden St, Cranford, NJ 07016-2131 | 2014-09-24 |
| 1023418506 | Diane Richardson | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2014-09-03 |
| 1730456351 | Diane J. Richardson | Nurse Practitioner | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2011-11-28 |
| 1194856997 | Diane Richardson | Physical Therapist | 8267 113th St, Seminole, FL 33772-4128 | 2007-03-07 |
| 1821179631 | Diane Richardson | Speech-Language Pathologist | 2203 Babcock Rd, San Antonio, TX 78229-4412 | 2006-10-18 |
| Street Address |
1493 WHITTIER ST |
| City | RATON |
| State | NM |
| Zip Code | 87740-2334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235634346 | Zia Healthcare Services LLC | Pathology | 168 Hospital Dr, Raton, NM 87740 | 2018-03-29 |
| 1538660428 | Sarah Rebecca Bales | Social Worker | 106 Cook Ave Apt 2-b, Raton, NM 87740 | 2018-02-26 |
| 1144695966 | Susanne Tripodi | Acupuncturist | 201 Cook Ave, Raton, NM 87740 | 2015-12-04 |
| 1942559588 | Candice Brook Adams | Psychologist | 101 North Second Street, Raton, NM 87740 | 2012-08-29 |
| 1184981227 | Jewel Berry | Counselor | 501 South Fourth Street, Raton, NM 87740 | 2012-04-13 |
| 1053696518 | William Stephen Stanley | Pharmacist | 955 South Second Street, Del Norte Pharmacy, Raton, NM 87740 | 2011-10-17 |
| 1144536459 | Karin M Murray | Pharmacist | 1275-a South 2nd St, Raton, NM 87740 | 2010-08-24 |
| 1043526361 | Troy N. Murray | Pharmacist | 1275-a South 2nd St., Raton, NM 87740 | 2010-08-24 |
| 1962730010 | Tiger Den Wellness Center | Local Education Agency (LEA) | 1535 Tiger Circle, Raton, NM 87740 | 2009-12-01 |
| 1407182678 | Billy Mastrantoni | Counselor | 130 N Second St, Raton, NM 87740 | 2009-10-23 |
| Find all providers in zip 87740 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285753087 | Frances Roberta Marquez | Nurse Practitioner | 226 E 4th Ave, Raton, NM 87740 | 2007-03-29 |
| 1013545110 | Sara Jessanne Lark | Nurse Practitioner | 203 Hospital Dr, Raton, NM 87740-2012 | 2020-04-01 |
| 1528515509 | Alison Gagnon | Nurse Practitioner | 203 Hospital Dr, Raton, NM 87740-2012 | 2016-09-07 |
| 1609873355 | Marcia Louise Hefker | Nurse Practitioner | 190 Hospital Dr, Raton, NM 87740-2002 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851845 | Jessica Montoya | Nurse Practitioner | 119 California Pine Rd Ne, Rio Rancho, NM 87124-2505 | 2020-11-03 |
| 1497354328 | Tracy Bui | Nurse Practitioner | 9200 Timber Ridge Rd Nw, Albuquerque, NM 87120-6278 | 2020-10-21 |
| 1477152619 | Aileen Liong | Nurse Practitioner | 3820 Dynamite Rd Ne, Rio Rancho, NM 87144-4160 | 2020-10-20 |
| 1578162822 | Holly Killough | Nurse Practitioner | 2332 Cottage San Rd, Silver City, NM 88061-8966 | 2020-10-19 |
| 1558969253 | Beverly Carter | Nurse Practitioner | 5021 Nelson Pl Nw, Albuquerque, NM 87114-4320 | 2020-10-14 |
| 1932706223 | Rozita Dayani | Nurse Practitioner | 6821 Promenade Ave Ne, Albuquerque, NM 87109-2824 | 2020-10-08 |
| 1730795626 | Jia Wu | Nurse Practitioner | 7124 Marseille Pl Ne, Albuquerque, NM 87122-3328 | 2020-09-17 |
| 1912513870 | Ariel A Nunez | Nurse Practitioner | 500 Walter Street Ne, Suite 216, Lovelace Medical Towers - Clinical Informatics, Albuquerque, NM 87102-2543 | 2020-09-16 |
| 1114531100 | Anneliese K. Glasgow | Nurse Practitioner | 2515 Tiffany Dr, Las Cruces, NM 88011-0880 | 2020-09-07 |
| 1326652173 | Matthew S Fogel | Nurse Practitioner | 3129 Casa Bonita Dr Ne, Albuquerque, NM 87111-5607 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
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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.