PAMELA BROUGH RICHARDSON (NPI# 1578811097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578811097 |
| Entity Type | Individual |
| Full Name | PAMELA BROUGH RICHARDSON |
| Credential | APRN, FNP-C, ENP-C |
| Practice Address |
520 E 6th St Odessa TX 79761-4527 |
| Mailing Address |
4 Rim Rd Alpine TX 79830-1025 |
| Practice Telephone | 4325828535 |
| Mailing Telephone | 4322941698 |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2020-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
593564 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH PROVIDER ID | 12450092 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225434038 | Pamela Renee Richardson | Case Manager/Care Coordinator | 137 Hiett Cir, Iuka, MS 38852-9061 | 2014-11-06 |
| 1457660656 | Pamela Sue Richardson | Occupational Therapist | 5990 Venture Park, Kalamazoo, MI 49009-1858 | 2010-10-05 |
| 1003057530 | Pamela H Richardson | Family Medicine | 1800 Sandy Hook Road, Suite 120, Goochland, VA 23063 | 2009-03-12 |
| 1154583656 | Pamela Joanne Richardson | Physical Therapist | 1002 Forest Dr, Riverton, WY 82501-2918 | 2008-06-26 |
| 1447397534 | Pamela A Richardson | Psychologist | 4110 Avenue D, Scottsbluff, NE 69361-4650 | 2007-01-30 |
| 1144324344 | Pamela A Richardson | Dentist | 9500 E 63rd St, Ste #103, Raytown, MO 64133 | 2006-09-11 |
| Street Address |
520 E 6TH ST |
| City | ODESSA |
| State | TX |
| Zip Code | 79761-4527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518959089 | Permian Anesthesia Associates, Inc | Nurse Anesthetist, Certified Registered | 520 E 6th St, Odessa, TX 79761-4527 | 2005-08-19 |
| 1114557675 | Christi Hill | Nurse Anesthetist, Certified Registered | 520 E 6th St, Odessa, TX 79761-4527 | 2020-01-23 |
| 1477183317 | Bradley Boyd Massey | Nurse Anesthetist, Certified Registered | 520 E 6th St, Odessa, TX 79761-4527 | 2020-01-20 |
| 1780224329 | Reid E Ivy | Nurse Anesthetist, Certified Registered | 520 E 6th St, Odessa, TX 79761-4527 | 2020-01-12 |
| 1275171423 | Kailani Alana Lee Decock | Physician Assistant | 520 E 6th St, Odessa, TX 79761-4527 | 2019-12-18 |
| 1528617552 | Liberty Dawn Mitchell | Licensed Vocational Nurse | 520 E 6th St, Odessa, TX 79761-4527 | 2019-09-11 |
| 1538714076 | Stephanie Renee' Powell | Physician Assistant | 520 E 6th St, Odessa, TX 79761-4527 | 2019-08-01 |
| 1285299131 | Permian Premier Health Services Inc | Contractor | 520 E 6th St, Odessa, TX 79761-4527 | 2019-05-07 |
| 1811460330 | Stefanie Hughes | Nurse Practitioner | 520 E 6th St, Odessa, TX 79761-4527 | 2019-01-08 |
| 1497240592 | Bienvenido Buaquen Baquirin | Nurse Practitioner | 520 E 6th St, Odessa, TX 79761-4527 | 2018-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482003 | Endovascular Lab Pllc | Surgery | 612 N Washington Avenue, Suite 100, Odessa, TX 79761 | 2020-03-16 |
| 1235627605 | Megan Elizabeth Lemond | Pediatrics | 912 E 5th St, Odessa, TX 79761 | 2018-05-01 |
| 1922522630 | Brian W Griffin | Nurse Practitioner | 4606 Fountain Ln., Odessa, TX 79761 | 2017-08-03 |
| 1023540507 | Florenda De Guzman | Nurse Practitioner | 405 N Tom Green, Odessa, TX 79761 | 2017-04-03 |
| 1205378239 | Scotty R Ortega Md | Clinical Nurse Specialist | 2487 E 11th Street, Odessa, TX 79761 | 2016-11-08 |
| 1487094355 | Marivel Perez | Nurse Practitioner | 540 W 5th St Ste 350, Ste. 350, Odessa, TX 79761 | 2013-06-25 |
| 1245579804 | Accurate Health Care LLC | Home Health | 302 Industrial Ave, Odessa, TX 79761 | 2013-02-01 |
| 1437421666 | Mary Magdalene Garcia | Speech-Language Pathologist | 620 N. Alleghaney, Odessa, TX 79761 | 2012-02-03 |
| 1841576378 | Ashley Burdex | Family Medicine | 6030 W University, Odessa, TX 79761 | 2011-10-28 |
| 1730465428 | Therese A Archer | Massage Therapist | 712 N. Texas Ave, Odessa, TX 79761 | 2011-10-26 |
| Find all providers in zip 79761 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776115 | Taylor Marie Russell | Nurse Practitioner | 15217 Wind Whisper Dr, Odessa, FL 33556-1832 | 2020-10-07 |
| 1992310551 | Taylor Barnes | Nurse Practitioner | 5919 Fitzgerald Rd, Odessa, FL 33556-2355 | 2020-09-10 |
| 1558995753 | Mission Health, Pllc | Nurse Practitioner | 3112 San Saba Dr, Odessa, TX 79765-5058 | 2020-02-26 |
| 1710549084 | Alyce Greenwood | Nurse Practitioner | 16501 Harper Pond Ln Apt 301, Odessa, FL 33556-6101 | 2019-07-08 |
| 1073170411 | Trudian Alicia Lester | Nurse Practitioner | 8050 E Highway 191 Ste 104, Odessa, TX 79765-8614 | 2019-05-21 |
| 1043773153 | Janette Garcia | Nurse Practitioner | 420 E 6th St Ste 201b, Odessa, TX 79761-4572 | 2019-04-08 |
| 1073074258 | Courtney Clubb | Nurse Practitioner | 410 N Hancock Ave # 4, Odessa, TX 79761-5140 | 2019-03-28 |
| 1891256434 | Joann Mercedes Georges Guillory | Nurse Practitioner | 56 Berkshire Cir, Odessa, TX 79765-2218 | 2019-03-27 |
| 1689138521 | Jacqueline Alcantara | Nurse Practitioner | 15103 Virginia Sta Apt 214, Odessa, FL 33556-3579 | 2019-01-24 |
| 1841767597 | Michael Ebrada | Nurse Practitioner | 16400 Rollingbrook Dr, Odessa, FL 33556-4907 | 2018-10-31 |
| Find all providers in ODESSA | ||||
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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.