Fred Wiley Richardson
Individual provider Active NPI Non-emergency Medical Transport (VAN) · Glorieta, NM
NPI 1336057744 · NPPES record last updated Aug 29, 2026
Key facts
- NPI
- 1336057744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- Practice address
- 34 Indian View Rd
Glorieta, NM 87535-7187 - Phone
- (505) 316-1654
- NPI assigned
- Aug 28, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | NM | Yes | |
| Transportation Network Company | 342000000X |
Addresses
Primary practice location
34 Indian View Rd
Glorieta, NM 87535-7187
Mailing address
34 Indian View Rd
Glorieta, NM 87535-7187
Phone (505) 316-1654
Other providers in Glorieta, NM
- Lily Courtney Counseling
- Stephanie Miller
- Olivas Sisters Home Care, Inc
- Olivas Sisters Home Care, Inc.
- Ricardo Gonzales, PH.D., Psychological Services, LLC
- Robin Patricia Wallace
All providers in Glorieta, NM · Non-emergency Medical Transport (VAN) in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.