Emilie Richards

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9111674 Issued in FL

Practice address

4700 N Congress Ave Ste 103
West Palm Beach, FL 33407-3284

Phone

(561) 622-6111

Fax

(855) 215-9930

NPI assigned

Sep 26, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• The Medical Group of South Florida, Inc

  • Specialist
  • West Palm Beach, FL
  • NPI 1023454063
  NPD (past)

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1639654601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1094 MILITARY TRL",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587021",
            "telephone_number": "561-622-6111",
            "fax_number": "855-215-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N CONGRESS AVE STE 103",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073284",
            "telephone_number": "561-622-6111",
            "fax_number": "855-215-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "EMILIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9111674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard W. Kaplan D.D.S., M.D., P.a.
• Dana Phillip Richard, D.O.
• Mirline Richard, RN
• Nadege Richard
• Cetoria Richards
• Kimberly S Richardson, B.A
• Nicole N Richardson, FNP-C
• Jamie-Lyn Richartz
• Sammy Richman, PHD, LCP
• Jessica L Richtmyre, DC

• Physician Assistant in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.