Joan L Richardson, MD

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

44567 Issued in FL

Practice address

3615 Poinciana Ave
Miami, FL 33133-6528

Phone

(305) 529-9224

NPI assigned

Dec 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1104585017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 POINCIANA AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331336528",
            "telephone_number": "305-529-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 POINCIANA AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331336528",
            "telephone_number": "305-529-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "JOAN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "44567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Lou Richardson, RN,CPN
• Alysse Coravon Richardson, D.C.
• Andrew Richardson
• Brendan Richardson
• Colbie Richardson, MSN, APRN, PMHNP-BC
• Katina Richardson, MD
• Keith Richardson, MD
• Keonna R Richardson, RN
• Kira Leslie Richardson, B.S., M.ED., BCBA
• Quintin R Richardson

• Adult Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.