Keonna R Richardson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9392419 Issued in FL

Practice address

14830 SW 149TH Ave
Miami, FL 33196-2334

Phone

(786) 205-9395

NPI assigned

Jun 6, 2022

Sex

Female

Sole proprietor

No

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1164151122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14830 SW 149TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962334",
            "telephone_number": "786-205-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14830 SW 149TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962334",
            "telephone_number": "786-205-9395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13732 SW 143rd St Unit K",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331867567",
            "country_code": "US",
            "telephone_number": "786-205-9395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "KEONNA",
        "middle_name": "R",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9392419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brendan Richardson
• Colbie Richardson, MSN, APRN, PMHNP-BC
• Joan L Richardson, MD
• Katina Richardson, MD
• Keith Richardson, MD
• Kira Leslie Richardson, B.S., M.ED., BCBA
• Quintin R Richardson
• Rachael Anne Richardson, RD, LDN
• Rosetta Richardson
• Stacey Drake Richardson, P.T.

• Registered Nurse in Miami, FL
• Providers in Miami, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.