Leesha Nicole Richardson, AGNP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APRN-RNP280542 Issued in AZ

Practice address

2902 W Agua Fria Fwy Ste 1000
Phoenix, AZ 85027-3969

Phone

(602) 609-2691

NPI assigned

Jun 10, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1781049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1336073766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 W TANYA TRL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850864372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 W AGUA FRIA FWY STE 1000",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273969",
            "telephone_number": "602-609-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "LEESHA",
        "middle_name": "NICOLE",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-10",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "APRN-RNP280542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Richardson, DPM
• Keighley Faye Richardson, PA-C, ATC
• Keri Lynn Richardson, PA-C
• Kitty Lee Richardson
• Landon C Richardson, DNP
• Logan Richardson, OTR/L
• Mark Richardson, FNP-C
• Marnie Richardson
• Nicole Richardson, LAC
• Patrick Richardson, APRN

• Gerontology Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Gerontology Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.