Brenda C Richardson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

269202 Issued in NY

Practice address

508 Seneca St
Fulton, NY 13069-1335

Phone

(315) 598-5120

NPI assigned

Apr 19, 2014

Last updated

Apr 19, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1397865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397865600000",
    "number": "1649690470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 SENECA ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691335",
            "telephone_number": "315-598-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 SENECA ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691335",
            "telephone_number": "315-598-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "BRENDA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-19",
        "last_updated": "2014-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "269202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Port City Emergency Physicians LLP
• Kimberly Anne Powers, LMHC
• Meaghan Primm, M.D.
• Debra A Quay, RN
• Sanjay Ramachandran, MD
• James Edgar Richardson, DDS
• Mark Gordon Richardson
• Rite Aid of New York Inc (Rite Aid Pharmacy 04457)
• River View Pediatrics, PC
• Rebecca Lynne Rodriguez, LPN

• Licensed Practical Nurse in Fulton, NY
• Providers in Fulton, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2014; 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.