Individual provider Active NPI

Constance Richardson Deidiker, PA-C

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1588047583
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2819 Issued in TN
Practice address
8 City Blvd Ste 300
Nashville, TN 37209-2560
Phone
(615) 329-6600
Fax
(615) 321-6226
NPI assigned
Jul 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2819 TN Primary

Addresses

Primary practice location

8 City Blvd Ste 300
Nashville, TN 37209-2560

Mailing address

PO Box 306556
Nashville, TN 37230-6556
Phone (615) 329-2294

Other names 1

  • Connie Richardson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151208001628 TN Practitioner - Physician Assistant 4981904356 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Orthopaedic Alliance PAGroup PAC ID 5193625069, 358 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

8 City Blvd
Suite 100
Nashville, TN 37209-2558
Phone (615) 329-6600

980 Professional Park Dr
Suite D
Clarksville, TN 37040-5251
Phone (931) 221-9967

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
65.3
Promoting interoperability
96
Improvement activities
40
Cost
77.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Orthopaedic Alliance PA CurrentSince Apr 20, 2016 Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Apr 20, 2016 Accepting new patients
Tennessee Orthopaedic Alliance PA Past Accepting new patients

Locations

315 N Washington Ave
Ste 150
Cookeville, TN 38501
Phone (800) 264-3762

4323 Carothers Pkwy
Ste 600
Franklin, TN 37067
Phone (615) 236-5000

215 Gothic Ct
Ste 101
Franklin, TN 37067
Phone (615) 236-5000

501 Saundersville Rd
Hendersonville, TN 37075
Phone (615) 527-9026

5000 Crossings Cir
Ste 200A
Mt Juliet, TN 37122
Phone 61532966001901

1800 Medical Center Pkwy
Ste 200
Murfreesboro, TN 37129
Phone (615) 278-1634

345 23rd Ave N
Ste 212
Nashville, TN 37203
Phone (615) 327-2055

8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155

8 City Blvd
Ste 200
Nashville, TN 37209
Phone (615) 263-0178

8 City Blvd
Ste 300
Nashville, TN 37209

Interoperability endpoints

  • Direct secure messaging: mary.richardson.p1@direct.toa.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1588047583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306556",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306556",
            "telephone_number": "615-329-2294",
            "fax_number": "615-695-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CITY BLVD STE 300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372092560",
            "telephone_number": "615-329-6600",
            "fax_number": "615-321-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEIDIKER",
        "first_name": "CONSTANCE",
        "middle_name": "RICHARDSON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "RICHARDSON",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.