Andrea Elise Richardson

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

5650 Mount Ackerly Dr
San Diego, CA 92111-4016

Phone

(858) 496-8205

NPI assigned

Jun 29, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1083135149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 CARDINAL LN # B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233743",
            "telephone_number": "858-573-2227",
            "fax_number": "858-292-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 MOUNT ACKERLY DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921114016",
            "telephone_number": "858-496-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "ANDREA",
        "middle_name": "ELISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Elizabeth Richards, MFT
• Sara Michelle Richards, MD
• Steven C. Richards, MD
• Taylor James Richards
• Alienor Richardson, AU.D.
• Betty Jean Richardson, R.PH.
• Carissa Richardson
• Carlie Lynn Richardson
• Catherine Richardson
• Chelsea Richardson, D.M.D.

• Rehabilitation Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.