TRACY RICHARDSON (NPI# 1164934535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164934535 |
| Entity Type | Individual |
| Full Name | TRACY RICHARDSON |
| Practice Address |
351 W 79th St Shreveport LA 71106-4819 |
| Practice Telephone | 3186888190 |
| Mailing Telephone | 3186888190 |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2017-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942469697 | Tracy Lynn Richardson | Pediatrics | 15 Roberta Dr, Barrington, RI 02806-2122 | 2008-06-07 |
| 1992759658 | Tracy Wade Richardson | Chiropractor | 120 Public Square East, Waynesboro, TN 38485 | 2006-05-19 |
| 1275592438 | Tracy M Richardson | Chiropractor | 1304 Bertrand Dr Ste D4, Lafayette, LA 70506-9104 | 2006-03-17 |
| 1568913697 | Tracy Richardson | Nurse Practitioner | 4130 N Freeway Rd, Pueblo, CO 81008-2064 | 2016-10-24 |
| 1982951612 | Tracy Carolyn Richardson | Nurse Practitioner | 9200 W Wisconsin Ave, Trauma and Critical Care Surgery, Milwaukee, WI 53226-3522 | 2012-08-13 |
| 1972867711 | Tracy Richardson | Specialist | 900 N 2nd St, Rochelle, IL 61068-1764 | 2012-06-26 |
| 1871754101 | Tracy L Richardson | Mechanotherapist | 1101 W Moana Ln, Reno, NV 89509-4775 | 2008-06-19 |
| 1811185101 | Tracy Richardson | Rehabilitation Practitioner | 8401 S Vermont Ave, Los Angeles, CA 90044-3423 | 2007-10-11 |
| 1417026923 | Tracy Richardson | Counselor | 200 Mcgee Rd, Anderson, SC 29625-2104 | 2006-11-07 |
| Street Address |
351 W 79TH ST |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106-4819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891130084 | Positive Change Counseling Agency | Community/Behavioral Health | 351 W 79th St, Shreveport, LA 71106-4819 | 2013-05-01 |
| 1689182792 | Fresh Start Community Health Center LLC | Clinic/Center | 351 W 79th St, Shreveport, LA 71106 | 2018-01-11 |
| 1205340619 | Mahogany Murphy | Counselor | 351 W 79th St, Shreveport, LA 71106-4819 | 2017-11-21 |
| 1144734708 | Casey Thomas | Counselor | 351 W 79th St, Shreveport, LA 71106-4819 | 2017-11-18 |
| 1245742923 | Kathy Murphy | Counselor | 351 W 79th St, Shreveport, LA 71106-4819 | 2017-11-02 |
| 1861904609 | Yul Taylor | Counselor | 351 W 79th St, Shreveport, LA 71106-4819 | 2017-11-02 |
| 1720590938 | Teylor Washington | Counselor | 351 W 79th St, Shreveport, LA 71106-4819 | 2017-10-27 |
| 1477064160 | Sherice Vivians | Counselor | 351 W 79th St, Shreveport, LA 71106-4819 | 2017-10-20 |
| 1275043259 | Janice Reed | Counselor | 351 W 79th St, Shreveport, LA 71106-4819 | 2017-10-04 |
| 1023528296 | Shammia Williams | Counselor | 351 W 79th St, Shreveport, LA 71106-4819 | 2017-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
| 1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
| 1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
| 1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
| 1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
| 1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
| 1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
| 1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
| 1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
| 1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
| Find all providers in zip 71106 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786502 | Erik Rasmussen | Counselor | 670 Albemarle Dr Ste 700, Shreveport, LA 71106-5946 | 2020-09-25 |
| 1043842750 | Creative Community Counseling LLC | Counselor | 2920 Knight St Ste 131, Shreveport, LA 71105-2412 | 2020-02-11 |
| 1477191591 | Keona Chequise Kidd | Counselor | 2829 Dunlap St, Shreveport, LA 71103-2244 | 2019-12-19 |
| 1336781632 | A New Beginning Counseling Services, LLC | Counselor | 9441 Oleander Dr, Shreveport, LA 71118-4008 | 2019-10-08 |
| 1841840311 | Theresa Davidson Snow | Counselor | 820 Jordan St Ste 510w, Shreveport, LA 71101-4526 | 2019-09-17 |
| 1962057737 | Mariana Penny | Counselor | 152 E College St, Shreveport, LA 71104-2510 | 2019-08-07 |
| 1528622818 | Kendal Redel | Counselor | 10011 Hanover Dr, Shreveport, LA 71115-3430 | 2019-04-23 |
| 1962960351 | Brandon Lewis-graham | Counselor | 3201 Knight St Apt 2206, Shreveport, LA 71105-2749 | 2019-03-05 |
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1659840312 | Donna Brown Franks | Counselor | 236 E Gregg St, Shreveport, LA 71104-5119 | 2018-11-24 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71106 |
Please comment or provide details below to improve the information on TRACY 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.