Kelli-Jo Richard, DC

Primary specialty

Pediatric ChiropractorTaxonomy code 111NP0017X

License

1954 Issued in LA

Practice address

1913 W Congress St
Lafayette, LA 70506-4433

Phone

(337) 240-6003

NPI assigned

Nov 18, 2020

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

Other identifiers 1

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": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1033712591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 W CONGRESS ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064433",
            "telephone_number": "337-240-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 W CONGRESS ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064433",
            "telephone_number": "337-240-6003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4302 Ambassador Caffery Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705086704",
            "country_code": "US",
            "telephone_number": "337-205-2744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "KELLI-JO",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "LA",
            "license": "1954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA CHIROPRACTIC LICENSE NUMBER",
            "identifier": "1954",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elise Sonnier Richard, APRN, NP-C
• Emily Richard
• Herbert Richard, BA
• Jaden Richard
• John F Richard, RPH PHARMACIST
• Mari-Catherine Guidry Richard
• Martin Richard
• Shelly Sebastien Richard, ANP,C
• Skylar Richard, FNP
• Tori Richard, PMHNP-BC

• Pediatric Chiropractor in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Pediatric Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.