Tracy M Richardson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1136 Issued in LA

Practice address

1304 Bertrand Dr Ste F5
Lafayette, LA 70506-9106

Phone

(337) 234-4987

Fax

(337) 234-5755

NPI assigned

Mar 17, 2006

Last updated

Sep 25, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richardson Chiropractic Group

  • Chiropractor
  • Lafayette, LA
  • NPI 1790826667
  Medicare reassignment NPD Authorized official
• Lightfoot Clinic of Chiropractic

  • Chiropractor
  • Lafayette, LA
  • NPI 1841442860
  NPD

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1275592438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 BERTRAND DR STE F5",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705069106",
            "telephone_number": "337-234-4987",
            "fax_number": "337-234-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 BERTRAND DR STE F5",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705069106",
            "telephone_number": "337-234-4987",
            "fax_number": "337-234-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "TRACY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1536067",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "chiroump@gmail.com",
            "affiliation": "N",
            "address_1": "1304 Bertrand Dr Ste F5",
            "city": "Lafayette",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705069106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brandee Richardson
• Dawn Lashay Richardson, BCBA, LBA
• Felecia Richardson
• Nathanael Mark Richardson, D.C.
• Robert Emon Richardson, NP
• Kimberly S. Riche, FNP-C
• Shelby Breaux Riche, M.S., L-SLP,CCC-SLP
• Kyle James Richey, D.C.
• Meghan Richli, MD
• Jennifer Leigh Rickard, CPNP

• Chiropractor in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.