KADIJAH BERNICE RICHARDSON (NPI# 1952838146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952838146 |
| Entity Type | Individual |
| Full Name | KADIJAH BERNICE RICHARDSON |
| Practice Address |
2227 W Main St Ste 3 Jacksonville AR 72076-4251 |
| Practice Telephone | (501) 985-9944 |
| Mailing Telephone | 5019859944 |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2017-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | 247200000X | AR | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2227 W MAIN ST STE 3 |
| City | JACKSONVILLE |
| State | AR |
| Zip Code | 72076-4251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851797955 | Elizabeth Whitley | Technician, Other | 2227 W Main St Ste 3, Jacksonville, AR 72076-4251 | 2014-11-17 |
| 1447656533 | Charles Allen Kirk | Technician, Other | 2227 W Main St Ste 3, Jacksonville, AR 72076-4251 | 2014-11-17 |
| 1881090983 | Jessie Battles | Specialist/Technologist, Other | 2227 W Main St Ste 3, Jacksonville, AR 72076-4251 | 2014-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396046 | Jennifer Michelle Price | Licensed Practical Nurse | 2400 West Main, Jacksonville, AR 72076 | 2020-02-03 |
| 1912464009 | Stat Home Health - Cenark LLC | Home Health | 1410 Braden Street, Jacksonville, AR 72076 | 2019-02-25 |
| 1649797671 | Caring Hearts Counseling, LLC | Case Management | 111 Marble Drive, Jacksonville, AR 72076 | 2017-08-30 |
| 1376071340 | Anne Elizabeth Houtchens | Speech-Language Pathologist | 2701 Tp White Drive, Jacksonville, AR 72076 | 2017-06-02 |
| 1881140648 | Jacksonville North Pulaski School District | Local Education Agency (LEA) | 1414 West Main, Jacksonville, AR 72076 | 2016-08-31 |
| 1134599772 | Jeremiah Melson Fleeman | Occupational Therapist | 2701 Tpwhite Drive, Jacksonville, AR 72076 | 2015-09-25 |
| 1821424565 | Kasey Michele Leeson | Social Worker | 2520 W. Main St., Jacksonville, AR 72076 | 2013-09-25 |
| 1407104052 | Cesalie Deonne Wallace | Nurse Practitioner | 3000 North First Street, Jacksonville, AR 72076 | 2012-08-29 |
| 1952660995 | Joshua Aaron Hill | Case Manager/Care Coordinator | 2126 N. 1st St Suite F, Jacksonville, AR 72076 | 2012-05-11 |
| 1396023156 | Syreeta Tucker | Case Manager/Care Coordinator | 1109 Burman, Jacksonville, AR 72076 | 2011-07-28 |
| Find all providers in zip 72076 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819009 | Shavon Chanta Burney | Technician, Other | 12337 Wynnfield Lakes Dr Unit 1721, Jacksonville, FL 32246-4272 | 2018-08-03 |
| 1548747751 | Analiese Marie Fazio | Technician, Other | 5900 Townsend Rd Apt 815, Jacksonville, FL 32244-4579 | 2018-07-20 |
| 1619489994 | Tracey Moraine Lewis | Technician, Other | 1060 Ontario St, Jacksonville, FL 32254-2040 | 2017-10-26 |
| 1548790298 | Fresh Heads Lice Removal | Technician, Other | 13241 Bartram Park Blvd Unit 1801, Jacksonville, FL 32258-5227 | 2017-06-15 |
| 1538695754 | Shilonda Peterson-jackson | Technician, Other | 3437 Miruelo Cr N, Jacksonville, FL 32217 | 2017-05-08 |
| 1881146074 | Arthur Hairston | Technician, Other | 5633 Clifton Lane, Jacksonville, FL 32211 | 2016-11-04 |
| 1528519717 | Patricia Coleman | Technician, Other | 3820 Losco Rd Apt 216, Jacksonville, FL 32257-1420 | 2016-10-22 |
| 1669920278 | Denise Miller | Technician, Other | 7033 Swamp Flower Dr N, Jacksonville, FL 32244-6155 | 2016-09-13 |
| 1891241832 | Danitha Blanchard | Technician, Other | 15879 Tisons Bluff Rd, Jacksonville, FL 32218-0125 | 2016-08-30 |
| 1881040103 | Stacey Renee Ludban | Technician, Other | 3726 Longleaf Forest Ln, Jacksonville, FL 32210-6896 | 2016-05-05 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 72076 |
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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.