Individual provider Active NPI

Richardson Kovalski Viaud

  • Acute Care Nurse Practitioner
  • Coral Springs, FL
National Provider Identifier
1083590137
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN11030176 Issued in FL
Practice address
4869 NW 124TH Way
Coral Springs, FL 33076-3464
Phone
(786) 269-1398
NPI assigned
Aug 13, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN11030176 FL Primary

Addresses

Primary practice location

4869 NW 124TH Way
Coral Springs, FL 33076-3464

Mailing address

4869 NW 124TH Way
Coral Springs, FL 33076-3464
Phone (786) 269-1398

Other names 1

  • Richardson Kovalski Pierre Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260219001612 NY Practitioner - Nurse Practitioner 3870073638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4055 Valley View LN
Suite 400
Dallas, TX 75244-4910

4055 Valley View LN
Suite 400
Dallas, TX 75244-5071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11030176FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brookview Medical Associates, PLLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1083590137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4869 NW 124TH WAY",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763464",
            "telephone_number": "786-269-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4869 NW 124TH WAY",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763464",
            "telephone_number": "786-269-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIAUD",
        "first_name": "RICHARDSON",
        "middle_name": "KOVALSKI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11030176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARDSON",
            "last_name": "PIERRE",
            "middle_name": "KOVALSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.