Active NPI
Martine Richardson, M.S.
- School Counselor
- Seffner, FL
National Provider Identifier
1205240058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 824668
- Practice address
- 12014 Michigan St
Apt a
Seffner, FL 33584-6489 - Phone
- (813) 465-9736
- NPI assigned
- Jun 19, 2014
- 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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 824668 | FL | Primary |
Addresses
Primary practice location
12014 Michigan St
Apt a
Seffner, FL 33584-6489
Mailing address
12014 Michigan Street Apt a
Seffner, FL 33584
Phone (813) 465-9736
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 824668 | FL | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403136000000",
"number": "1205240058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12014 MICHIGAN STREET APT A",
"city": "SEFFNER",
"state": "FL",
"postal_code": "33584",
"telephone_number": "813-465-9736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12014 MICHIGAN ST",
"address_2": "APT A",
"city": "SEFFNER",
"state": "FL",
"postal_code": "335846489",
"telephone_number": "813-465-9736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "MARTINE",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-19",
"last_updated": "2014-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "FL",
"license": "824668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seffner, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.