Georgia S Richardson, RD,CDE

Primary specialty

NutritionistTaxonomy code 133N00000X

License

001981 Issued in NY

Practice address

2832 Linden Boulevard
Brooklyn, NY 11208

Phone

(718) 240-2000

Fax

(718) 240-2215

NPI assigned

Nov 30, 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 1

Other names 1

• Georgia S Nugent Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510185600000",
    "number": "1568530541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER ST FL 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410004",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2832 LINDEN BOULEVARD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11208",
            "telephone_number": "718-240-2000",
            "fax_number": "718-240-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "GEORGIA",
        "middle_name": "S",
        "credential": "RD,CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2017-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "001981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "001981",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGIA",
            "last_name": "NUGENT",
            "middle_name": "S",
            "credential": "RD,CDE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Antonio P Richardson, LCSW
• Aubrey Richardson, RN, BSN, BA, IBCLC
• Ayanna Richardson
• Carrissa Richardson
• Daniela Richardson
• Gina L Richardson, DPT
• Glenn Richardson, CASEMANAGER
• Jade-Lynn Richardson
• Jodi-Ann Richardson, MD
• Johann Andria Richardson

• Nutritionist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Nutritionist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.