Tanisha Renee Richmond, DPM, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

36-003457 Issued in OH

Practice address

1323 W 3Rd St
Dayton, OH 45402-6714

Phone

(937) 228-3668

Fax

(937) 228-3660

NPI assigned

Oct 18, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richmond Foot and Ankle Clinic, LLCGroup PAC ID 1557433612, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tanisha.richmond.1@6649.direct.athenahealth.com

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.

• Richmond Foot & Ankle Clinic, LLC

  • Foot & Ankle Surgery Podiatrist
  • Dayton, OH
  • NPI 1861669970
  Medicare reassignment Care Compare group NPD
• Mobile Medical, Inc.

  • Podiatrist
  • Perrysburg, OH
  • NPI 1003066747
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1689755084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 W 3RD ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454026714",
            "telephone_number": "937-228-3668",
            "fax_number": "937-228-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 W 3RD ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454026714",
            "telephone_number": "937-228-3668",
            "fax_number": "937-228-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND, DPM",
        "first_name": "TANISHA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36-003457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000558908",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2796292",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zontaye Richardson
• Richardt Senior Care
• Daryl Richey II, COTA/L
• Richmond Foot & Ankle Clinic, LLC
• Richmond Foot and Ankle Clinic
• Jessica Richter
• Rachael A Richter, MSW, LISW-S
• Michelle Erin Ricica
• Barbara R Rickey, PCC
• Eliza Pearl Ricks, CPNP

• Foot & Ankle Surgery Podiatrist in Dayton, OH
• Providers in Dayton, OH by specialty
• Foot & Ankle Surgery Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.