Active NPI
Antoinette Richardson, RD,CDE, LDN
- Registered Dietitian
- Collegeville, PA
National Provider Identifier
1083658017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN000256
- Practice address
- 1014 Meadow View Cir
Collegeville, PA 19426-3350 - Phone
- (610) 539-2026
- Fax
- (610) 539-2026
- NPI assigned
- Jun 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | DN000256 | PA | |
| Registered Dietitian | 133V00000X | DN000256 | PA | Primary |
Addresses
Primary practice location
1014 Meadow View Cir
Collegeville, PA 19426-3350
Mailing address
1014 Meadow View Cir
Collegeville, PA 19426-3350
Phone (610) 539-2026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN000256 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
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": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453939200000",
"number": "1083658017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1014 MEADOW VIEW CIR",
"city": "COLLEGEVILLE",
"state": "PA",
"postal_code": "194263350",
"telephone_number": "610-539-2026",
"fax_number": "610-539-2026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 MEADOW VIEW CIR",
"city": "COLLEGEVILLE",
"state": "PA",
"postal_code": "194263350",
"telephone_number": "610-539-2026",
"fax_number": "610-539-2026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "ANTOINETTE",
"name_prefix": "Mrs.",
"credential": "RD,CDE, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2016-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "PA",
"license": "DN000256",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN000256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Collegeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.