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).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104393529 | Michele Jayne Richardson | Speech-Language Pathologist | 6905 Nw 122nd St, Oklahoma City, OK 73142-3903 | 2018-10-24 |
1790919348 | Michele B Richardson | Nurse Practitioner | 486 Sw Rutledge St, Madison, FL 32340-1978 | 2009-05-12 |
1417924630 | Michele Richardson | Emergency Medicine | 201 E Nicollet Blvd, Burnsville, MN 55337 | 2006-03-07 |
Street Address |
1200 DRIVING PARK AVE |
City | NEWARK |
State | NY |
Zip Code | 14513-1090 |
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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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 |
Find all providers in zip 14513 |
Taxonomy Code | 363LN0005X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Neonatal, Critical Care |
Definition to come... |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811505928 | Kemba Hazeley | Nurse Practitioner | 1825 Eastchester Rd Fl 5n, Bronx, NY 10461-2301 | 2020-07-15 |
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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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.