Dennis Alphonso Richardson

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

L22000064275 Issued in FL

Practice address

6603 Thurgood Cir E
Jacksonville, FL 32219-3883

Phone

(904) 861-4977

NPI assigned

May 21, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dennis Alphonso Richardson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1653091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653091200000",
    "number": "1407594377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6603 THURGOOD CIR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322193883",
            "telephone_number": "904-861-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6603 THURGOOD CIR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322193883",
            "telephone_number": "904-861-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "DENNIS",
        "middle_name": "ALPHONSO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-21",
        "last_updated": "2022-05-21",
        "certification_date": "2022-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": "L22000064275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENNIS",
            "last_name": "RICHARDSON",
            "middle_name": "ALPHONSO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nicole Yvonne Richardson Hill, CNA
• Andrea Bailey Richardson, CRNP
• Ceddeth Richardson, MOTR/L
• Ciera Leshay Richardson, CNA
• Darrick L Richardson, NONE
• Jayla Nykeria Richardson
• John Edward Richardson, O.D.
• Julia Richardson
• Kallyn Richardson
• Larry Tyrone Richardson, PH.D., LMHC

• Non-emergency Medical Transport (VAN) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2022; 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.