MRS. KRYSTEN LEEANN RICHARDSON PHYSICIAN ASSISTANT NPI 1801381645

NPI Information

NPI: 1801381645
Provider Name: MRS. KRYSTEN LEEANN RICHARDSON, PHYSICIAN ASSISTANT
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: NORTH ALABAMA BONE AND JOINT CLINIC PC

PECOS Registration: Yes

Address:
1751 VETERANS DR STE 300
FLORENCE, AL
ZIP 35630
Phone: (256) 718-3200
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MRS. Krysten Leeann Richardson, PHYSICIAN ASSISTANT is a medical physician assistant in Florence, AL with 7 years of experience. MRS. Krysten Leeann Richardson, PHYSICIAN ASSISTANT NPI is 1801381645. 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:

1751 VETERANS DR STE 300
FLORENCE, AL
ZIP 35630-930
Phone: (256) 718-3200
Fax: (256) 246-3297

The NPI 1801381645 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 6/25/2018 and was last updated on 9/1/2021.

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	363A00000X	Physician Assistant		3576	TENNESSEE	No
2	363AM0700X	Physician Assistant	Medical	1346	ALABAMA	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	Q037209	MEDICAID	TENNESSEE
2	267297	MEDICAID	ALABAMA

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: 11/14/2023

NPI Synchronization or Removal

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