KATHLEEN JEANNETTE RICHARDSON ARNP

NPI Information

NPI: 1700809043
Provider Name: KATHLEEN JEANNETTE RICHARDSON, ARNP - FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1720 E 67TH ST STE 119
TACOMA, WA
ZIP 98404
Phone: (253) 212-0202
Get Directions

Kathleen Jeannette Richardson, ARNP - FNP is a family nurse practitioner in Tacoma, WA. Kathleen Jeannette Richardson, ARNP - FNP NPI is 1700809043. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1720 E 67TH ST STE 119
TACOMA, WA
ZIP 98404-223
Phone: (253) 212-0202
Fax: (253) 212-0962

The NPI 1700809043 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 1/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	AP30007392	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2086163	MEDICAID	WASHINGTON
2	2075947	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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