GLENDA JOHNSON RICHARDSON


Address: 2100 3rd Street, Suite 6, Kenner, LA 70062-7600
Phone: 5661251044

GLENDA JOHNSON RICHARDSON (NPI# 1346398419) 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) 1346398419
Entity Type Individual
Full Name GLENDA JOHNSON RICHARDSON
Credential M.D.
Practice Address 2100 3rd Street
Suite 6
Kenner
LA 70062-7600
Mailing Address 43 Elwood Dr.
Destrehan
LA 70047-3703
Practice Telephone 5661251044
Practice Fax Number 5044662014
Mailing Telephone 5044661251
Mailing Fax Number 5044662014
Enumeration Date 2007-01-08
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 014496 LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1301922 05

Office Location

Street Address 2100 3RD STREET
SUITE 6
City KENNER
State LA
Zip Code 70062-7600

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1386130573 Racquel Monique Wilson Counselor 2613 Decatur St, Kenner, LA 70062 2018-07-10
1689101453 Trenese Ferguson Counselor 2735 Jasper St, Kenner, LA 70062 2017-05-11
1225577323 Deniser Mundy Counselor 2200 Veterans Boulevard Suite. 105, Kenner, LA 70062 2017-02-22
1104376714 Easycarewellnessanddentistry LLC Dentist 2145 Rev. Richard Wilson Dr, Kenner, LA 70062 2016-10-06
1912370800 Cabrina Dabney Counselor 2400 Veterans Blvd Suite 215, Kenner, LA 70062 2015-11-02
1285005058 Roseland Jarrow Butler Case Manager/Care Coordinator 2200 Veterans Memorial Blvd Ste 105, Kenner, LA 70062 2015-10-19
1023449162 Tam Minh Le Pharmacist 2242 Williams Boulevard, Kenner, LA 70062 2013-11-27
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720302326 Vennus Jennifer Ballen Pediatrics 3100 Williams Blvd, Kenner, LA 70065-4505 2010-03-25
1780728642 Sunnyside Family Health LLC Pediatrics 3645 Williams Blvd, #104, Kenner, LA 70065-3464 2007-02-16
1225110489 Samuel Y Brown Pediatrics 3813 Williams Blvd, Kenner, LA 70065-3007 2006-10-19
1750493383 Karen M Foti Pediatrics 200 W Esplanade Ave Ste 314, Kenner, LA 70065-2489 2006-08-31
1609898626 Edith Luz Linares Pediatrics 3321 Florida Ave, Kenner, LA 70065-3680 2006-07-25
1821513508 Forever Kid Pediatric Practice Pediatrics 3321 Florida Ave, Kenner, LA 70065 2017-08-03
1184923369 Christina M Piron Pediatrics 1401 W Esplanade Ave Ste 108a, Kenner, LA 70065-2800 2011-03-27
1073839759 Mendoza Medical Clinic Pediatrics 3100 Williams Blvd, Kenner, LA 70065 2010-04-20
1437326014 Samuel Y Brown Md Apmc Pediatrics 3813 Williams Blvd, Kenner, LA 70065-3007 2008-05-13
1013198472 Brian Jimar Young Pediatrics 200 W. Esplanade Avenue, Kenner, LA 70065-2489 2007-11-14
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Competitor

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City KENNER
Zip Code 70062

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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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