Active NPI
Stephanie L Richardson
- Driver
- Dayton, OH
National Provider Identifier
1093348955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 6330 Pine Cone Dr
Dayton, OH 45449-3037 - Phone
- (937) 998-7882
- NPI assigned
- Feb 19, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Primary |
Addresses
Primary practice location
6330 Pine Cone Dr
Dayton, OH 45449-3037
Mailing address
6330 Pine Cone Dr
Dayton, OH 45449-3037
Phone (937) 998-7882
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 498302 | Medicaid | OH |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583452800000",
"number": "1093348955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6330 PINE CONE DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454493037",
"telephone_number": "937-998-7882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6330 PINE CONE DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454493037",
"telephone_number": "937-998-7882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "STEPHANIE",
"middle_name": "L",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-19",
"last_updated": "2020-03-06",
"certification_date": "2020-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "498302",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.