ALYSSA RHODES RICHARDSON


Address: 3 Superior Dr # 100b, Superior, CO 80027-8653
Phone: 3034158940

ALYSSA RHODES RICHARDSON (NPI# 1285851626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285851626
Entity Type Individual
Full Name ALYSSA RHODES RICHARDSON
Other Name ALYSSA MARGARET RHODES
Credential PA-C
Practice Address 3 Superior Dr # 100b
Superior
CO 80027-8653
Mailing Address 5450 Western Ave
Boulder
CO 80301-2709
Practice Telephone 3034158940
Practice Fax Number 3034259259
Mailing Telephone 3034158940
Mailing Fax Number 3034259259
Enumeration Date 2007-04-19
Last Update Date 2018-04-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA.0002283 CO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO 75685736 05

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Office Location

Street Address 3 SUPERIOR DR # 100B
City SUPERIOR
State CO
Zip Code 80027-8653

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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1992935126 Miranda M Schoenecker Physician Assistant 3520 Tower Ave, Superior, WI 54880-5335 2009-07-22
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Competitor

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City SUPERIOR
Zip Code 80027

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Dataset Information

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.

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