Kaicee Ponds Richardson, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

36303 Issued in AL

Practice address

1060 Fairfax Park Ste C
Tuscaloosa, AL 35406-2837

Phone

(205) 752-7337

Fax

(205) 752-8013

NPI assigned

Jun 19, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: drrichardson@westalabamapediatrics.opdirect.net

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.

• Bruce a Petitt M.D. P.C.

  • Pediatrics Physician
  • Tuscaloosa, AL
  • NPI 1013077205
  NPD (past)

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1255770533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 FAIRFAX PARK STE C",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062837",
            "telephone_number": "205-752-7337",
            "fax_number": "205-752-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 FAIRFAX PARK STE C",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062837",
            "telephone_number": "205-752-7337",
            "fax_number": "205-752-8013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 Jessamine Ave",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "SC",
            "postal_code": "294405837",
            "country_code": "US",
            "telephone_number": "843-546-8686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "57 Jessamine Ave",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "SC",
            "postal_code": "294405837",
            "country_code": "US",
            "telephone_number": "843-546-8686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "KAICEE",
        "middle_name": "PONDS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "35996",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "36303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie A Rice, D.M.D
• Deidre Leanne Richards
• Ashanti Richardson
• David Richardson, DC
• Heidi J. Richardson, OT
• Megan Richardson
• Rebecca Noland Richardson, CRNP
• Timothy Richardson
• Richardson'S Helping Hand Services LLC
• Sarah Marie Riggins, RN

• Pediatrics Physician in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.