Organization Active NPI

Shyanne Richardson MSW

Doing business as The Sidewalk Center

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Lakewood, CO
National Provider Identifier
1376085324
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
SHYANNE RICHARDSON MSW
Doing business as
The Sidewalk Center
Practice address
895 Lewis Dr
Lakewood, CO 80215-5724
Phone
(303) 931-0932
NPI assigned
Nov 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Authorized official

Name
Shyanne Richardson, MSWNPI 1154773984
Title
Owner
Phone
(303) 931-0932

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X Primary

Addresses

Primary practice location

895 Lewis Dr
Lakewood, CO 80215-5724

Mailing address

895 Lewis Dr
Lakewood, CO 80215-5724
Phone (303) 931-0932

Other identifiers 1

IdentifierTypeStateIssuer
16738578MedicaidCO

Other names 1

  • The Sidewalk Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1376085324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 LEWIS DR",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802155724",
            "telephone_number": "303-931-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 LEWIS DR",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802155724",
            "telephone_number": "303-931-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHYANNE RICHARDSON MSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "SHYANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-931-0932",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16738578",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Sidewalk Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.