Shanice Dianne Richardson

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

6733 Reedy Branch Rd
Rocky Mount, NC 27803-8427

Phone

(252) 450-9008

NPI assigned

Jul 10, 2024

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1295572097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6733 REEDY BRANCH RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278038427",
            "telephone_number": "252-450-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6733 REEDY BRANCH RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278038427",
            "telephone_number": "252-450-9008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "727 N Grace St",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "NC",
            "postal_code": "278044842",
            "country_code": "US",
            "telephone_number": "252-450-9008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "909 N Parker St",
            "address_purpose": "LOCATION",
            "city": "Elm City",
            "state": "NC",
            "postal_code": "27822",
            "country_code": "US",
            "telephone_number": "252-236-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "SHANICE",
        "middle_name": "DIANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Coley Rich, PHARMD
• Richard G Michal MD PLLC
• Richard G. Langellotti
• Kiwanya Richardson
• Nya J S Richardson
• Yvette Richardson
• Natashia Richmond
• Lori Ann Ricklefs, D.O.
• Monica Renee Ricks, PHARMD
• Shameca Ricks, LCSW

• All providers in Rocky Mount, NC
• Developmental Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.