MS. MICHELE LYNN RICHARDSON


Address: 1200 Driving Park Ave, Newark, NY 14513-1090
Phone: 3153592162

MS. MICHELE LYNN RICHARDSON (NPI# 1528373677) 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) 1528373677
Entity Type Individual
Full Name MS. MICHELE LYNN RICHARDSON
Credential NP
Practice Address 1200 Driving Park Ave
Newark
NY 14513-1090
Practice Telephone 3153592162
Mailing Telephone 3153592162
Enumeration Date 2010-08-13
Last Update Date 2016-02-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LN0005X Nurse Practitioner
Specialization: Neonatal, Critical Care
350310 NY Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 1200 DRIVING PARK AVE
City NEWARK
State NY
Zip Code 14513-1090

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396741898 Lawrence N. Chessin Internal Medicine 1200 Driving Park Ave, Newark, NY 14513-1057 2005-06-21
1477162725 Aidan Sullivan Physician Assistant 1200 Driving Park Ave, Newark, NY 14513-1090 2020-07-23
1649898834 Nicholas D Biermann Physician Assistant 1200 Driving Park Ave, Newark, NY 14513-1090 2020-07-14
1780222604 Erin Hart Physical Therapist 1200 Driving Park Ave, Newark, NY 14513-1090 2019-12-11
1861030785 Lauren Conaty Physical Therapist 1200 Driving Park Ave, Newark, NY 14513-1090 2019-12-11
1255978540 Andrea Lorene Ide Physical Therapist 1200 Driving Park Ave, Newark, NY 14513-1090 2019-12-05
1326682618 Thomas William Jackson Mspt Physical Therapist 1200 Driving Park Ave, Newark, NY 14513-1090 2019-10-30
1578113189 Natalie A Davidson Nurse Practitioner 1200 Driving Park Ave, Newark, NY 14513 2019-09-16
1164076659 Meritt F Rogers Physician Assistant 1200 Driving Park Ave, Newark, NY 14513-1090 2019-08-01
1992366744 Allison Marie Triou Physician Assistant 1200 Driving Park Ave, Newark, NY 14513-1090 2019-06-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881215648 Susan Marie Oberdorf Speech-Language Pathologist 133 Elmwood, Newark, NY 14513 2020-05-04
1871077404 Aisha E Wagner Nurse Practitioner 1304 Driving Park Avenue, Newark, NY 14513 2018-09-19
1689192817 Melanie Swarthout Case Manager/Care Coordinator 150 Van Buren St., Newark, NY 14513 2017-09-08
1942650882 Donna Joy Collins I Speech-Language Pathologist 848 Pierson Avenue, Newark, NY 14513 2016-06-21
1972952661 Cj-mak Transportation, Inc. Non-emergency Medical Transport (VAN) 227 State Farm Road, Newark, NY 14513 2016-06-03
1306214473 Stephanie Belli Licensed Practical Nurse 5904 Austin Road, Newark, NY 14513 2015-09-08
1992186712 Nicole Harris Nursing Facility/Intermediate Care Facility 132 Willow Avenue, Newark, NY 14513 2015-06-17
1861802373 Jeffrey Spencer Urology 1202 Driving Park Ave Ste 5, Newark, NY 14513 2014-05-06
1609126648 Natasha Triplett Student in an Organized Health Care Education/Training Program 439 W. Maple Ave, Perkins Elementary, Newark, NY 14513 2012-09-18
1922377902 Lisa E. Williams Licensed Practical Nurse 701 Peirson Ave., Newark, NY 14513 2011-12-21
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Taxonomy Information

Taxonomy Code 363LN0005X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal, Critical Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821212689 Susan Imam Nurse Practitioner Ogletown- Stanton Rd, Newark, DE 19718-0001 2007-04-12
1508989401 Kathleen Hauty Leef Nurse Practitioner 106 W Shetland Ct, Abbotsford, Newark, DE 19711-1502 2007-04-08
1205145604 Janice E Boc Nurse Practitioner 4745 Ogletown Stanton Rd, Newark, DE 19713-2067 2010-10-02
1881819191 Ann Marie Bodi Nurse Practitioner 4755 Ogletown-stanton Rd, Pob 6001, Newark, DE 19718-0001 2007-04-13

Providers in the same taxonomy and state

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1558929802 Sanidine C Hofilena Nurse Practitioner 1256 E 59th St, Brooklyn, NY 11234-3304 2019-06-02
1376068916 Jennifer D Haas Nurse Practitioner 101 Nicholls Road Hsc T 11 060, Stony Brook, NY 11794-0001 2017-08-04
1346779162 Priya Pathadan Nurse Practitioner 8900 Vanwyck Expressway, Jamaica Hospital Medical Center -nicu, Jamaica, NY 11418 2017-06-06
1265807846 Colleen Carmody Nurse Practitioner 148 Saint Marks Pl, Massapequa, NY 11758-6422 2015-12-08
1265812150 Brandi Aemisegger Nurse Practitioner 373 Biddle Loop, West Point, NY 10996-1307 2015-06-04
1851718035 Pat Buenvenida Nurse Practitioner 234 East 118th Street, 1, New York, NY 10035 2014-03-25
1750710729 Charlene Lyons Nurse Practitioner 100 Nicolls Rd # Level5, Stony Brook, NY 11794-8111 2013-11-10
1619313178 Grace Propper Nurse Practitioner 2880 North Ocean Ave, Farmingville, NY 11738 2013-05-10
1528337698 Anne Marie Jorgensen Nurse Practitioner 32 Rochelle Dr, New City, NY 10956-5853 2011-12-20
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Competitor

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City NEWARK
Zip Code 14513

Improve Information

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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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