Jordyn Richardson, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT7834 Issued in TX

Practice address

3133 Good Shepherd Way
Longview, TX 75605-7921

Phone

(903) 323-6500

NPI assigned

Feb 8, 2024

Last updated

Feb 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1003670266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 MISSION CREEK DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756018610",
            "telephone_number": "909-957-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 GOOD SHEPHERD WAY",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756057921",
            "telephone_number": "903-323-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "JORDYN",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT7834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Yvonne Rich, OTR
• Summer Renee Richards, CPM
• Amber Andrea Richardson, PTA
• Jenny E Richardson, ACNP
• Jordan B. Richardson, FNP-C
• Taylor Richardson
• Wesla Richardson
• Zane Brannan Richardson, PT,DPT,OCS
• Brian J Richey, ATP
• Spencer Rickers

• Athletic Trainer in Longview, TX
• Providers in Longview, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.