Richelle Marie Avila, RDA

Primary specialty

Dental AssistantTaxonomy code 126800000X

Practice address

BLDG 11572 17TH & C Street
Tacoma, WA 98433

Phone

(253) 967-4989

NPI assigned

Aug 3, 2022

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 names 1

• Richelle Marie Riconoscuito Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1629705306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "BLDG 11572 17TH & C STREET",
            "city": "APO",
            "state": "AE",
            "postal_code": "98433",
            "telephone_number": "253-967-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 11572 17TH & C STREET",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98433",
            "telephone_number": "253-967-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "RICHELLE",
        "middle_name": "MARIE",
        "credential": "RDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHELLE",
            "last_name": "RICONOSCUITO",
            "middle_name": "MARIE",
            "credential": "RDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Avian Adult Family Home B LLC
• Katie Avichouser
• Angela Marcela Avila - Castro, CDPT
• Brennah Elaine Avila
• Dustin Martin Avila, SUDP-T
• Meghana Shashikant Awad, M.D.
• Raseel A Aws, AA
• Paul Douglas Axford, MD
• Axis Mental Health
• Axis Nephrology PLLC

• Dental Assistant in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Dental Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.