Nwanneka Richardson, M.B.B.S.

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

036-102719 Issued in IL

Practice address

510 Burnham Ave
Calumet City, IL 60409-3401

Phone

(708) 862-0305

NPI assigned

Jun 1, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Midwest Neoped Associates LTD

  • Specialist
  • Oak Brook, IL
  • NPI 1396792180
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271030400000",
    "number": "1225075708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 BURNHAM AVE",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604093401",
            "telephone_number": "708-862-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 BURNHAM AVE",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604093401",
            "telephone_number": "708-862-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "NWANNEKA",
        "name_prefix": "Dr.",
        "credential": "M.B.B.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2010-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "IL",
            "license": "036-102719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-102719",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randall F Akel & Associates S C
• Anthony Carl Redmond, PSYD. M.A., CAADC
• Tiraney Redmond
• Sujithra Reprakash, PA-C
• Adalberto Oscar Reyes Jr., ATC
• River Oaks and Park Forest Opco LLC
• Tammara Elise Roberson-Green, PT
• Laci Robinson
• Michael Roe, LCSW, LCPC
• Patricia Lynn Roe, M.H.S., CCC, SLP/L

• Neonatal-Perinatal Medicine Physician in Calumet City, IL
• Providers in Calumet City, IL by specialty
• Neonatal-Perinatal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.