Stephanie Sara Richard, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

MD.026043 Issued in LA

Practice address

830 W Bayou Pines Dr
Lake Charles, LA 70601-7097

Phone

(337) 436-9557

Fax

(337) 312-1311

NPI assigned

Jun 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1376582676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W BAYOU PINES DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017097",
            "telephone_number": "337-436-9557",
            "fax_number": "337-312-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W BAYOU PINES DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017097",
            "telephone_number": "337-436-9557",
            "fax_number": "337-312-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "STEPHANIE",
        "middle_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "LA",
            "license": "MD.026043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209946701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1056081",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chad Richard, D.C.
• Daniel Lee Richard Jr.
• Jacqueline Brown Richard, MS, RD, LDN
• Kevin Richard, LPC
• Russell Richard
• Brittany Richards-Pete
• Alexis Richardson
• Lynda Lantrip Riche', N.P.
• Debra Richey, LPN
• Barrett Saunders Richter, DC

• Anatomic Pathology & Clinical Pathology Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.