Chalencia Idalia Nunnally-Richardson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

338047 Issued in MS

Practice address

1047 N Belvedere Blvd
Memphis, TN 38107-3008

Phone

(662) 629-0703

NPI assigned

Jan 23, 2023

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)

Not enrolled

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.

• Oasis Living Community LLC

  • In Home Supportive Care Agency
  • Memphis, TN
  • NPI 1477411452
  NPD

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1689389876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 N BELVEDERE BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381073008",
            "telephone_number": "662-629-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 N BELVEDERE BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381073008",
            "telephone_number": "662-629-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNNALLY-RICHARDSON",
        "first_name": "CHALENCIA",
        "middle_name": "IDALIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MS",
            "license": "338047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Nuccio, M.S.-C.G.C
• Janet Chandler Nuckolls, DPH
• Nucor Family Clinic
• A.Y Nunley
• Stewart Lewis Nunn, M.D.
• Christopher M Nunnelee, DDS
• Nurse Call Home Health Agency LLC
• Nurses on Call
• Nursing Aide Transportation of Memphis
• Nursing Solutions

• Licensed Practical Nurse in Memphis, TN
• Providers in Memphis, TN by specialty
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.