MRS. RACHELLE RICHARDSON (NPI# 1386733897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386733897 |
| Entity Type | Individual |
| Full Name | MRS. RACHELLE RICHARDSON |
| Credential | ARNP |
| Practice Address |
3134 Northside Dr Bld B Key West FL 33040-8004 |
| Mailing Address |
Po Box 6193 Key West FL 33041-6193 |
| Practice Telephone | 3052926885 |
| Practice Fax Number | 3052931561 |
| Mailing Telephone | 3058095680 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2013-01-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 308584 | OH | Nursing Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP 9304753 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP-09100 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE | EP045Z | 01 |
| OH | 2425370 | 05 | |
| FL | 002893500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568873750 | Rachelle Denise Richardson | Counselor | 4339 Winston Ave, Covington, KY 41015-1739 | 2014-05-11 |
| Street Address |
3134 NORTHSIDE DR BLD B |
| City | KEY WEST |
| State | FL |
| Zip Code | 33040-8004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881874584 | Jerry Jay Jackson | Internal Medicine | 3134 Northside Dr, Bldg B, Key West, FL 33040-8004 | 2007-11-09 |
| 1548488778 | Old Town Community Health Center | General Practice | 3134 Northside Dr, Key West, FL 33040-8004 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326668120 | Key West Nursing Home Propco LLC | Skilled Nursing Facility | 5860 College Road, Key West, FL 33040 | 2020-04-21 |
| 1811461262 | Housing Authority of The Key West | Assisted Living Facility | 1664 Dunlap Drive, Key West, FL 33040 | 2019-01-18 |
| 1154833077 | Katrina Karr Pfander | Speech-Language Pathologist | 24 Jade Dr., Unit 6, Key West, FL 33040 | 2017-11-01 |
| 1356866529 | Kelli Stolar | Case Manager/Care Coordinator | 1205 Fourth Street, Key West, FL 33040 | 2017-08-09 |
| 1861931065 | Kathy Snyder | Case Manager/Care Coordinator | 1205 Fourth St, Key West, FL 33040 | 2017-02-21 |
| 1649722984 | Schanae Cunningham | Social Worker | 1502 Salmon Court, Key West, FL 33040 | 2016-11-03 |
| 1700286127 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 5610 Overseas Highway, Stock Island, FL 33040 | 2014-09-04 |
| 1255747945 | Paul A Tate Jr. | Emergency Medicine | Naval Branch Health Clinic Key West, 1300 Douglas Cir, Key West, FL 33040 | 2014-07-02 |
| 1851644629 | Erin Sheehan | Registered Nurse | 1200 Kennedy Dr Fl 2, Key West, FL 33040 | 2012-10-18 |
| 1861743197 | Sarah Miranda Cox | Social Worker | 1217 White St Ste 201, Key West, FL 33040 | 2012-09-26 |
| Find all providers in zip 33040 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669871703 | Colby Quinn Kohler | Nurse Practitioner | 1714 N Roosevelt Blvd, Key West, FL 33040-7299 | 2014-08-14 |
| 1821371923 | Selina Czerwinski Clow | Nurse Practitioner | 2100 Flagler Ave., Ahec Clinic, Key West, FL 33040-3734 | 2011-09-25 |
| 1336374040 | Ruth Anne Antonowich | Nurse Practitioner | 737a Olivia St, Key West, FL 33040-6444 | 2009-05-26 |
| 1609894047 | David G. Campbell-o'dell | Nurse Practitioner | 1200 4th St, Suite 308, Key West, FL 33040-3763 | 2006-07-17 |
| 1740267913 | Lisa D Benfield | Nurse Practitioner | 3224 N Roosevelt Blvd, Key West, FL 33040-4114 | 2005-12-28 |
| 1962053249 | Raquel Cecil | Nurse Practitioner | 925 Toppino Dr, Key West, FL 33040-4269 | 2019-09-26 |
| 1194372912 | Alyssa Suggs | Nurse Practitioner | 1100 Simonton St, Key West, FL 33040-3110 | 2019-08-26 |
| 1326587734 | Keys Pediatrics Pllc | Nurse Practitioner | 1714 N Roosevelt Blvd, Key West, FL 33040-7299 | 2017-02-17 |
| 1124484316 | Sandra Sun | Nurse Practitioner | 1111 12th St Ste 203, Key West, FL 33040-3000 | 2016-01-05 |
| 1356727705 | Kathy Oconnell | Nurse Practitioner | 1980 N Roosevelt Blvd, Key West, FL 33040-3632 | 2015-08-08 |
| Find all providers in KEY WEST | ||||
Please comment or provide details below to improve the information on MRS. RACHELLE 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.