DR. KATIE L RICHARDSON (NPI# 1164780003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164780003 |
| Entity Type | Individual |
| Full Name | DR. KATIE L RICHARDSON |
| Other Name | DR. KATIE E LONG |
| Credential | PHARMD, BCOP |
| Practice Address |
650 Joel Dr Fort Campbell KY 42223-5318 |
| Mailing Address |
800 Rose Street H110 Lexington KY 40536-0001 |
| Practice Telephone | 2704128968 |
| Enumeration Date | 2012-04-29 |
| Last Update Date | 2019-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 015490 | KY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477091700 | Katie Anne Richardson | Social Worker | 8200 E Belleview Ave Ste 312c, Greenwood Village, CO 80111-2880 | 2017-02-07 |
| 1669762878 | Katie Richardson | Doula | 3602 Woodbury Pike, Murfreesboro, TN 37127-4735 | 2011-04-10 |
| 1164964490 | Katie Dossey Richardson | Dietitian, Registered | 1224 Trotwood Ave, Columbia, TN 38401-4802 | 2016-11-17 |
| 1316489479 | Katie Richardson | Specialist | 125 Bank St, Suite 200, Missoula, MT 59802-4407 | 2016-11-07 |
| 1598218752 | Katie Elizabeth Richardson | Optometrist | 2005 W Main St, Tupelo, MS 38801 | 2016-07-24 |
| Street Address |
650 JOEL DR |
| City | FORT CAMPBELL |
| State | KY |
| Zip Code | 42223-5318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982601803 | Carol Lynn Pasewark | Counselor | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2005-07-07 |
| 1568063519 | Jeremy Schadewald | Physician Assistant | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-11-05 |
| 1578164760 | Brandi Mangan | Nurse Practitioner | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-11-04 |
| 1912506692 | Rose Dunn | Optometrist | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-10-22 |
| 1659989440 | Patrick Ogden | Student in an Organized Health Care Education/Training Program | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-07-17 |
| 1487262408 | John William Zamora | Physician Assistant | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-07-15 |
| 1295343218 | Joshua Ryan Agard | Physician Assistant | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-07-15 |
| 1902424435 | Shaina Escribano-miranda | Nurse Practitioner | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-07-10 |
| 1326665514 | Cristal Lagail Trotter | Nurse Anesthetist, Certified Registered | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-07-03 |
| 1689209728 | William James Bradshaw | Physician Assistant | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978825 | Eden Addisu Kebede | Social Worker | Ft. Campbell/bach, 650 Joel Drive, Fort Campbell, KY 42223 | 2020-09-30 |
| 1174134662 | Lucas Pepper | Dentist | Desert Storm Ave, Bldg 5580, Apo, AA 42223 | 2020-08-10 |
| 1639711203 | Travis Robert Bryant | Optometrist | 5979 Desert Storm Ave., Lapointe Health Clnic Optometry, Ft. Campbell, KY 42223 | 2019-10-15 |
| 1184138232 | Vanessa Renee Simmons | Dental Assistant | 302b Baker St, Fort Campbell, KY 42223 | 2017-11-28 |
| 1922451996 | Isabella Julson | Dental Assistant | Bldg2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-07-14 |
| 1336595305 | Heidi Cameron | Acupuncturist | 2889b Idaho Avenue, Fort Campbell, KY 42223 | 2016-05-10 |
| 1649644154 | Nathan Silvey | Physician Assistant | Building 4179, Fort Campbell, KY 42223 | 2015-11-20 |
| 1396145306 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 2403, Air Assault St and Indiana Ave, Fort Campbell, KY 42223 | 2014-08-27 |
| 1275948564 | Rodney C Merkley | Psychologist | Building 3929, Ft. Capmbell, KY 42223 | 2014-06-25 |
| 1659785053 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 6747 A Shau Valley Road, Fort Campbell, KY 42223 | 2014-06-13 |
| Find all providers in zip 42223 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710415518 | Florence Johson | Pharmacist | 11054a Bennett Ln, Fort Campbell, KY 42223-6053 | 2017-05-24 |
| 1386183259 | Angelina Calista Cox | Pharmacist | 650 Joel Drive Attn: Credentials Office (rm # 1bed01d), Blanchfield Army Community Hospital, Fort Campbell, KY 42223-5349 | 2017-02-13 |
| 1972135226 | Debra Levell Barbour | Pharmacist | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-02-05 |
| 1174155402 | Cynthia Lynn Summers | Pharmacist | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-02-05 |
| 1679059356 | Kaitlyn Davis | Pharmacist | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2018-07-16 |
| 1033640461 | Brent Michael Chelewski | Pharmacist | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2017-03-27 |
| 1346693652 | Kristine Townsend | Pharmacist | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2016-07-21 |
| 1326403866 | Anthony Patsy Apa | Pharmacist | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2015-12-29 |
| 1407230782 | Vanessa Kirkwood | Pharmacist | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2015-07-16 |
| 1376926295 | Valarie Weedman | Pharmacist | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2015-07-09 |
| Find all providers in FORT CAMPBELL | ||||
| City | FORT CAMPBELL |
| Zip Code | 42223 |
Please comment or provide details below to improve the information on DR. KATIE L RICHARDSON.
| 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.