DAVID WAYLON RICHARDSON FNP-C NPI 1356570188

NPI Information

  • NPI: 1356570188
  • Provider Name: DAVID WAYLON RICHARDSON, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2032 S 17TH ST
    SUITE 101
    WILMINGTON, NC
    ZIP 28401
  • Phone: (910) 763-3738

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NPI Details

David Waylon Richardson, FNP-C is a family nurse practitioner in Wilmington, NC with 17 years of experience. David Waylon Richardson, FNP-C NPI is 1356570188. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

2032 S 17TH ST
SUITE 101
WILMINGTON, NC
ZIP 28401-678
Phone: (910) 763-3738
Fax: (910) 763-0454

The NPI 1356570188 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 7/14/2009 and was last updated on 7/17/2013.

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
1363LF0000XNurse PractitionerFamily5004418NORTH CAROLINAYes

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
12594299AMEDICARE PINNORTH CAROLINA
27000566MEDICAIDNORTH CAROLINA

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: 11/21/2025

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