KELLY RICHARDS (NPI# 1861825127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861825127 |
| Entity Type | Individual |
| Full Name | KELLY RICHARDS |
| Credential | PA-C |
| Practice Address |
963 Town Center Dr Suite 100 Orange City FL 32763-8254 |
| Practice Telephone | 3867749880 |
| Practice Fax Number | 3867742898 |
| Mailing Telephone | 3867749880 |
| Mailing Fax Number | 3867742898 |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2017-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AMERIGROUP | 02004368 | 01 | |
| FL | OO9981300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235571688 | Kelly C. Richards | Psychologist | 721 Orwood Pl, Syracuse, NY 13208-3124 | 2013-07-26 |
| 1477803856 | Kelly J Richards | Massage Therapist | 850 High Street, Suite 2b, Holyoke, MA 01040-3739 | 2012-09-13 |
| 1649529009 | Kelly Richards | Physical Therapist | 2200 E. Washington St., Bloomington, IL 61701 | 2012-08-31 |
| 1174849772 | Kelly Richards | Physical Therapy Assistant | 1058 Clark St, D-1, Holland, OH 43528-7949 | 2010-04-08 |
| 1144650698 | Kelly Richards | Nurse Practitioner | 4 Hall St, Concord, NH 03301-3414 | 2013-11-20 |
| 1336433879 | Kelly Analiese Richards | Nurse Practitioner | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2011-06-01 |
| 1841524055 | Kelly A. Richards | Nurse Anesthetist, Certified Registered | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2009-09-22 |
| 1346408804 | Kelly J Richards | Dietitian, Registered | 5140 Liberty Ave, 2nd Floor, Pittsburgh, PA 15224-2215 | 2008-05-30 |
| 1720283674 | Kelly Elizabeth Richards | Social Worker | 21 W Fee Ave, Suite G, Melbourne, FL 32901-4402 | 2007-06-20 |
| Street Address |
963 TOWN CENTER DR SUITE 100 |
| City | ORANGE CITY |
| State | FL |
| Zip Code | 32763-8254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407835127 | Lydied Y Hernandez | Audiologist | 963 Town Center Dr, Suite 100, Orange City, FL 32763-8254 | 2006-01-11 |
| 1033408745 | Kimberly Lajuan Redmond | Nurse Practitioner | 963 Town Center Dr, Suite 100, Orange City, FL 32763-8254 | 2011-04-04 |
| 1154566982 | Carinda Stout | Speech-Language Pathologist | 963 Town Center Dr, Orange City, FL 32763-8254 | 2008-12-08 |
| 1184887721 | Lisa A Krebs | Audiologist | 963 Town Center Dr, Suite 100, Orange City, FL 32763-8254 | 2008-07-03 |
| 1083730311 | Jeffrey T Swanson | Speech-Language Pathologist | 963 Town Center Dr, Suite 100, Orange City, FL 32763-8254 | 2007-03-21 |
| 1447264338 | Natasha L Taylor | Physician Assistant | 963 Town Center Dr, Suite 100, Orange City, FL 32763-8254 | 2006-07-28 |
| 1134168438 | Daniel L Rothbaum | Otolaryngology | 963 Town Center Dr, Suite 100, Orange City, FL 32763-8254 | 2006-06-05 |
| 1306884267 | Devang M Shah | Otolaryngology | 963 Town Center Dr, Suite 100, Orange City, FL 32763-8254 | 2006-06-03 |
| 1710932405 | Atlantic Ear Nose & Throat Pa | Otolaryngology | 963 Town Center Dr, Suite 100, Orange City, FL 32763-8254 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043852783 | Khushboo Patel | Nurse Practitioner | 915 Harley Strickland Blvd, Orange City, FL 32763 | 2019-10-15 |
| 1598325466 | Steves Hearingllc | Hearing Aid Equipment | 742 N Volucia Ave., Orange City, FL 32763 | 2019-06-13 |
| 1740762194 | Jamie Elizabeth Price | Speech-Language Pathologist | 2705 Rebecca Lane Suite B, Orange City, FL 32763 | 2018-09-02 |
| 1841771821 | Ashley Katherine Taylor | Early Intervention Provider Agency | 358 W Wisconsin Ave, Orange City, FL 32763 | 2018-08-27 |
| 1033636048 | Kimberly Michelle Belk | Social Worker | 300 Treemonte Dr, Orange City, FL 32763 | 2017-08-30 |
| 1588198733 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1320 Saxon Blvd, Orange City, FL 32763 | 2017-04-14 |
| 1629515333 | Anewerface, Inc | Clinic/Center | Address: 123 N Industrial Dr Ste C, Orange City, FL 32763 | 2017-01-20 |
| 1184073322 | Carolyn Ann Damato | Specialist/Technologist, Other | 1350 13th Street, Orange City, FL 32763 | 2016-06-08 |
| 1225451784 | Shamika Spencer | Nurse Practitioner | 932 Saxon Blvd Ste A, Orange City, FL 32763 | 2014-02-03 |
| 1972882314 | Orange City Anesthesia Services LLC | Anesthesiology | 975 Town Center Dr Ste 100, Orange City, FL 32763 | 2011-08-16 |
| Find all providers in zip 32763 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902372261 | Orange City Municipal Hospital | Physician Assistant | 1000 Lincoln Cir Se Ste 100, Orange City, IA 51041-1864 | 2018-10-15 |
| 1215306998 | Moline Jephtee Blanc | Physician Assistant | 1133 Saxon Blvd Ste 200, Orange City, FL 32763-8425 | 2015-09-23 |
| 1184092959 | Angelica Romero | Physician Assistant | 1111 Natural Oaks Dr, Orange City, FL 32763-9212 | 2015-09-09 |
| 1023360294 | Damaris Age | Physician Assistant | 963 Town Center Dr Ste 100, Orange City, FL 32763-8254 | 2012-10-11 |
| 1790336931 | Joshua Wayne Stewart | Physician Assistant | 1053 Medical Center Dr Ste 101, Orange City, FL 32763-8259 | 2019-09-27 |
| 1881178770 | Stephanie Mirsky | Physician Assistant | 1061 Medical Center Dr Ste 305, Orange City, FL 32763-8227 | 2018-09-18 |
| 1215193966 | Kimberly Dykstra | Physician Assistant | 1000 Lincoln Cir Se, Orange City, IA 51041-1836 | 2008-08-01 |
| 1477744456 | Olivia S Willey | Physician Assistant | 765 Image Way, Orange City, FL 32763-8399 | 2007-08-06 |
| 1447264338 | Natasha L Taylor | Physician Assistant | 963 Town Center Dr, Suite 100, Orange City, FL 32763-8254 | 2006-07-28 |
| 1477502888 | Aya Pauley | Physician Assistant | 2877 Wellness Ave, Orange City, FL 32763-8396 | 2006-05-10 |
| Find all providers in ORANGE CITY | ||||
| City | ORANGE CITY |
| Zip Code | 32763 |
Please comment or provide details below to improve the information on KELLY 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.