Individual provider Active NPI

Harold Wayne Richardson, DVM,MS

  • Veterinarian
  • Hudson, WI
National Provider Identifier
1700199320
Registry record updated Jul 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
5831-50 Issued in WI
Practice address
752 Gherty LN
Hudson, WI 54016-7861
Phone
(715) 386-7808
Fax
(715) 386-0922
NPI assigned
Jul 24, 2010
Last updated
Jul 24, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 5831-50 WI Primary
Veterinarian 174M00000X 00705 MN
Veterinarian 174M00000X 090.003101 IL
Veterinarian 174M00000X 3509 KS

Addresses

Primary practice location

752 Gherty LN
Hudson, WI 54016-7861

Mailing address

752 Gherty LN
Hudson, WI 54016-7861
Phone (715) 386-7808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
090.003101ILMDVeterinarian
3509KSMDVeterinarian
00705MNMDVeterinarian
5831-50WIMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1279929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279929600000",
    "number": "1700199320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 GHERTY LN",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540167861",
            "telephone_number": "715-386-7808",
            "fax_number": "715-386-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 GHERTY LN",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540167861",
            "telephone_number": "715-386-7808",
            "fax_number": "715-386-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "HAROLD",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DVM,MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-24",
        "last_updated": "2010-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "WI",
            "license": "5831-50",
            "primary": true
        },
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "MN",
            "license": "00705",
            "primary": false
        },
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "IL",
            "license": "090.003101",
            "primary": false
        },
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "KS",
            "license": "3509",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2010; 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.