Individual provider Active NPI

Kathryn Fuller Richardson, DNP, FNP-C

  • Obstetrics & Gynecology Physician
  • Augusta, GA
National Provider Identifier
1356854590
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
RN221565 Issued in GA
Practice address
2806 Hillcreek Dr
Augusta, GA 30909-6484
Phone
(706) 863-0200
NPI assigned
Nov 9, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X RN221565 GA Primary

Addresses

Primary practice location

2806 Hillcreek Dr
Augusta, GA 30909-6484

Mailing address

5050 Fieldcrest Dr
North Augusta, SC 29841-0106
Phone (803) 634-9739

Other practice location 1

425 N Belair Rd
Evans, GA 30809-3003
Phone (706) 855-6244

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN221565GAMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1356854590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 FIELDCREST DR",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298410106",
            "telephone_number": "803-634-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 HILLCREEK DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096484",
            "telephone_number": "706-863-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 N Belair Rd",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308093003",
            "country_code": "US",
            "telephone_number": "706-855-6244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "KATHRYN",
        "middle_name": "FULLER",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "RN221565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.