SCOTT RICHARDSON (NPI# 1780086561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780086561 |
| Entity Type | Individual |
| Full Name | SCOTT RICHARDSON |
| Credential | DNP |
| Practice Address |
4500 Stuart Ave Columbia SC 29207 |
| Mailing Address |
162 Rainbow Dr # 6247 Livingston TX 77399-1062 |
| Practice Telephone | 2254548232 |
| Mailing Telephone | 2254548232 |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2018-06-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN124815 | LA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP09538 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356858369 | Scott Richardson | Community Based Residential Treatment Facility, Mental Illness | 3934 Rio Vista Way, Klamath Falls, OR 97603 | 2017-12-29 |
| 1922299205 | Scott Richardson | Acupuncturist | 1872 S Pearl St, Denver, CO 80210-3137 | 2007-08-05 |
| 1407265689 | Scott Richardson | Physical Therapy Assistant | 113 Linnies Ct, Axton, VA 24054-1729 | 2014-08-12 |
| 1063847713 | Scott W Richardson | Counselor | 55 Basin Creek Rd, Butte, MT 59701-9704 | 2013-09-12 |
| 1447520838 | Scott West Richardson | Nurse Anesthetist, Certified Registered | 2101 Pease St, Harlingen, TX 78550-8307 | 2012-01-03 |
| 1689809113 | Scott A Richardson | Social Worker | 100 N Academy Ave, Danville, PA 17822-9800 | 2009-05-28 |
| 1114017738 | Scott P. Richardson | Anesthesiology | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-10-13 |
| 1730117771 | Scott Ronald Richardson | Physical Therapist | 18301 N 79th Ave, Suite B122, Glendale, AZ 85308-8463 | 2006-06-29 |
| 1184652406 | Scott Kenchiloe Richardson | Emergency Medicine | 605 Parfet St, # 103, Lakewood, CO 80215-5576 | 2006-06-28 |
| 1669437125 | Scott C Richardson | Internal Medicine | 170 Amendment Ave, Rock Hill, SC 29732 | 2006-04-19 |
| Street Address |
4500 STUART AVE |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700843745 | Marjorie Arlene Burniston | Occupational Therapist | 4500 Stuart Ave, Mach-occupational Therapy, Columbia, SC 29207-5700 | 2006-04-26 |
| 1396193348 | Athena Freeman | Nurse Practitioner | 4500 Stuart Ave, Columbia, SC 29207-5700 | 2016-06-01 |
| 1194138859 | Moncrief Army Community Hospital | Pharmacy | 4500 Stuart Ave, Columbia, SC 29207-5700 | 2014-06-10 |
| 1073802807 | Moncrief Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 4500 Stuart Ave, Columbia, SC 29207-5700 | 2011-04-01 |
| 1720235484 | Crystal Lloyd Brigantti | Optometrist | 4500 Stuart Ave, Columbia, SC 29207-5700 | 2008-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043756 | Steven Mariani Rodriguez | Dentist | 5330 Moseby Street, Columbia, SC 29207 | 2020-08-10 |
| 1568082493 | Nichole Eckrich | Dentist | 5330 Moseby St., Columbia, SC 29207 | 2020-04-21 |
| 1730733007 | Forrest Wane Fullenkamp | Student in an Organized Health Care Education/Training Program | 5330 Moseby St, Columbia, SC 29207 | 2019-07-25 |
| 1306401625 | Kayla Anne Wolcott | Pharmacist | Moncrief Army Hospital Outpatient Pharmacy 1 Ft Jackson, Columbia, SC 29207 | 2019-05-02 |
| 1588145098 | Renetta Denise Green | Counselor | Fort Jackson/acs 9810 Lee St, Columbia, SC 29207 | 2018-08-23 |
| 1154814028 | Amanda Zelnick | Dentist | Bldg 5330 Moseby St, Ft Jackson, NC 29207 | 2018-06-14 |
| 1790231777 | Brittaney Elizabeth Anne Lewelling | Specialist/Technologist | 5975 Chesnut Road, Columbia, SC 29207 | 2016-08-30 |
| 1376749838 | Moncrief Army Community Hospital | Clinic/Center | 5330 Mosby Street, Fort Jackson, SC 29207 | 2007-06-22 |
| 1902002462 | Moncrief Army Community Hospital | Clinic/Center | 1890 Washington Road, Fort Jackson, SC 29207 | 2007-06-22 |
| 1730279860 | Donna L Briquet | Pharmacist | 4500 Marion Street, Columbia, SC 29207 | 2006-10-12 |
| Find all providers in zip 29207 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114526266 | Leslie Desha | Nurse Practitioner | 1109 Pheasant Run, Columbia, MO 65201-6253 | 2020-10-20 |
| 1407454101 | Jason D Jones | Nurse Practitioner | 213 Austell Dr, Columbia, TN 38401-5531 | 2020-10-14 |
| 1316544315 | Rezvaneh Goodarzi | Nurse Practitioner | 8830 Tamar Dr Apt 301, Columbia, MD 21045-2962 | 2020-10-03 |
| 1316559255 | Lauren Olivia Lenauer | Nurse Practitioner | 1600 E Broadway # 300, Columbia, MO 65201-5844 | 2020-08-21 |
| 1285246272 | Lourdes Claire De Las Alas | Nurse Practitioner | 6005 Shepherd Sq, Columbia, MD 21044-3114 | 2020-08-20 |
| 1619587540 | Josey Abraham | Nurse Practitioner | 305 Aiken Hunt Cir, Columbia, SC 29223-8407 | 2020-08-05 |
| 1588274765 | Tomeka Nichole Jackson | Nurse Practitioner | 6156 Saint Andrews Rd Ste 208, Columbia, SC 29212-3147 | 2020-08-03 |
| 1528696762 | Mark Edward Merkel | Nurse Practitioner | 1040 N James M Campbell Blvd, Columbia, TN 38401-2756 | 2020-04-01 |
| 1306489265 | Andrew Leitch | Nurse Practitioner | 313 N Trenholm Rd, Columbia, SC 29206-3207 | 2019-10-23 |
| 1760033476 | Emily Smith | Nurse Practitioner | 157 Chinquapin Cir, Columbia, SC 29212-2902 | 2019-09-24 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on SCOTT 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.