Individual provider Active NPI

Nakiesha Cowan-Richardson

  • Psychologist
  • Huntsville, AL
National Provider Identifier
1285051367
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1885 Issued in AL
Practice address
7027 Old Madison Pike NW
Suite 108
Huntsville, AL 35806-2368
Phone
(256) 924-7684
Fax
(256) 333-4628
NPI assigned
Mar 26, 2014
Last updated
Sep 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1885 AL Primary

Addresses

Primary practice location

7027 Old Madison Pike NW
Suite 108
Huntsville, AL 35806-2368

Mailing address

7027 Old Madison Pike NW
Suite 108
Huntsville, AL 35806-2368
Phone (256) 924-7684

Other identifiers 2

IdentifierTypeStateIssuer
330000026MedicaidAL
51169381OtherALBLUE CROSS BLUE SHIELD OF ALABAMA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1885ALMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
SVPS Psychiatric Services LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1285051367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7027 OLD MADISON PIKE NW",
            "address_2": "SUITE 108",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358062368",
            "telephone_number": "256-924-7684",
            "fax_number": "256-333-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7027 OLD MADISON PIKE NW",
            "address_2": "SUITE 108",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358062368",
            "telephone_number": "256-924-7684",
            "fax_number": "256-333-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN-RICHARDSON",
        "first_name": "NAKIESHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AL",
            "license": "1885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330000026",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "51169381",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.