CAROL RICHARDS (NPI# 1558398289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558398289 |
| Entity Type | Individual |
| Full Name | CAROL RICHARDS |
| Credential | ATC |
| Practice Address |
12276 San Jose Blvd Suite 717 Jacksonville FL 32223-8628 |
| Mailing Address |
11149 Monarch Landing Dr Jacksonville FL 32257-1529 |
| Practice Telephone | 9042889604 |
| Mailing Telephone | 9047102266 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2009-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | AL1679 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LICENSE NO. | AL1679 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093189219 | Carol Richards | Custodial Care Facility | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2015-11-26 |
| 1760810204 | Carol Richards | Counselor | 1152 S Main St, Lakeport, CA 95453-5517 | 2013-10-18 |
| Street Address |
12276 SAN JOSE BLVD SUITE 717 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32223-8628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114925922 | Luna I Khadour | Family Medicine | 12276 San Jose Blvd, Suite 401, Jacksonville, FL 32223-8628 | 2005-07-14 |
| 1538773239 | Brenda Eileen Haga | Rehabilitation Practitioner | 12276 San Jose Blvd, Jacksonville, FL 32223-8628 | 2020-09-01 |
| 1073123600 | Catiana Augusme | Behavior Technician | 12276 San Jose Blvd, Jacksonville, FL 32223-8628 | 2020-08-07 |
| 1275066185 | Glenn Allan Turner Jr. | Behavior Technician | 12276 San Jose Blvd, Suite 508, Jacksonville, FL 32223 | 2017-04-07 |
| 1063952547 | Kayleigh Ansteatt | Developmental Therapist | 12276 San Jose Blvd, Suite 508, Jacksonville, FL 32223-8628 | 2017-03-02 |
| 1295279834 | Riyam Dhahir Yaseen | Developmental Therapist | 12276 San Jose Blvd, 508, Jacksonville, FL 32223-8628 | 2016-12-16 |
| 1316496417 | Ari Wallace | Developmental Therapist | 12276 San Jose Blvd, Ste 508, Jacksonville, FL 32223-8628 | 2016-09-29 |
| 1992250492 | Lauren Beth Philbrick | Developmental Therapist | 12276 San Jose Blvd, Jacksonville, FL 32223-8628 | 2016-08-24 |
| 1922553882 | Brandi Marie Higginbotham | Developmental Therapist | 12276 San Jose Blvd, Suite 508, Jacksonville, FL 32223-8628 | 2016-08-22 |
| 1598210346 | Katharine Streets | Developmental Therapist | 12276 San Jose Blvd, Ste 508, Jacksonville, FL 32223-8628 | 2016-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679103600 | Karen Gabriela Alexander | Dietitian, Registered | Ackerman Cancer Center, 10881 San Jose Blvd, Jacksonville, FL 32223 | 2020-01-17 |
| 1891250049 | Thalia L Honea | Occupational Therapist | 12766 San Jose Blvd, Suite 716 & 717, Jacksonville, FL 32223 | 2019-02-01 |
| 1447758289 | Stephanie Ann Murphy | Marriage & Family Therapist | 11543 Halethorpe Drive, Jacksonville, FL 32223 | 2018-01-26 |
| 1861948481 | Nicole Gay | Developmental Therapist | 12276 San Jose Blvd, Ste 5, Jacksonville, FL 32223 | 2016-09-01 |
| 1740694439 | Robyn K Mizelle | Behavioral Analyst | 12276 San Jose Blvd. Great Strides Rehabilitation, Suite 507, Jacksonville, FL 32223 | 2014-06-20 |
| 1184038010 | Kelli Anne Cabrera | Occupational Therapist | 12350 San Jose Blvd, Jacksonville, FL 32223 | 2014-06-18 |
| 1891031910 | Mandarin Family Medicine, P.a. | Preferred Provider Organization | 12276-210 San Jose Blvd, Jacksonville, FL 32223 | 2012-12-18 |
| 1114201811 | Darshana Choksi | Pharmacist | 3663 Marbon Rd, Jacksonville, FL 32223 | 2011-09-30 |
| 1346539988 | Harris Wilcox and Donovan Pa | Optometrist | 11790 San Jose Bl, Jacksonville, FL 32223 | 2011-04-05 |
| 1740517796 | Beth A. Kelley | Occupational Therapist | 2640 Scott Mill Dr, Jacksonville, FL 32223 | 2009-11-12 |
| Find all providers in zip 32223 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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|---|---|---|---|---|
| 1437768033 | Coastal Injury Clinic LLC | Specialist | 2700 Riverside Ave Ste 1, Jacksonville, FL 32205-8233 | 2020-07-29 |
| 1255957643 | Rhonda D Smith Roberts | Specialist | 2754 Sam Hardwick Blvd, Jacksonville, FL 32246-3892 | 2020-06-22 |
| 1437620986 | Nicole Azaan | Specialist | 2301 Indian Dr Apt 29c, Jacksonville, NC 28546-5258 | 2018-12-10 |
| 1598251910 | Allionz LLC | Specialist | 2386 Dunn Ave Ste 109, Jacksonville, FL 32218-4751 | 2018-07-09 |
| 1093236531 | Leah F Friedman | Specialist | 1650 Prudential Dr Ste 102, Jacksonville, FL 32207-8148 | 2017-07-06 |
| 1609301993 | Oakleaf Injury and Pain Center LLC | Specialist | 9526 Argyle Forest Blvd, B-6, Jacksonville, FL 32222-2825 | 2017-04-25 |
| 1982070140 | Riverside Spine & Pain Physicians, LLC | Specialist | 13133 Professional Dr, Suite 200, Jacksonville, FL 32225-7122 | 2015-08-11 |
| 1235525239 | Elizabeth Wehr | Specialist | 319 1st Ave N Apt 1a, Jacksonville, FL 32250-5500 | 2015-04-07 |
| 1053705236 | Orthowilmington, Pa | Specialist | 3382 Henderson Dr, Jacksonville, NC 28546-5230 | 2015-03-25 |
| 1295156941 | Southeast Orthopedic Specialists, Inc. | Specialist | 10475 Centurion Pkwy N Ste 220, Jacksonville, FL 32256-5004 | 2013-12-26 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32223 |
Please comment or provide details below to improve the information on CAROL RICHARDS.
| 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.