Kim Nmi Richardson

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1145 Hudson Rd Apt 228
Saint Paul, MN 55106-4326

Phone

(651) 503-6573

NPI assigned

Oct 25, 2024

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

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.

• Kim'S Korner LLC

  • Community Health Worker
  • Saint Paul, MN
  • NPI 1891519203
  NPD Authorized official

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1699597260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 HUDSON RD APT 228",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551064326",
            "telephone_number": "651-503-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 HUDSON RD APT 228",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551064326",
            "telephone_number": "651-503-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "KIM",
        "middle_name": "NMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Richardson, CMT
• Ayanna A Richardson, MSW, LICSW, LADC
• Janilyn Richardson, MD
• Jenna Gay Richardson, PA
• Jordan P Richardson, MD
• Lisa Richardson, MSS, LICSW
• Michael Lawrence Richardson, M.S.ED, L.P.
• Paul Timothy Richardson, MD
• Rachel Elizabeth Richardson, LICSW
• Randal C Richardson, M.D., M.M.S.

• Community Health Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Community Health Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.