Andrea Greenlee Richards, MED CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

114576 Issued in MO

Practice address

502 Rosewood Dr
Kirksville, MO 63501-2437

Phone

(660) 785-1834

NPI assigned

Mar 28, 2022

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)

Enrolled

Credentials

Master of Education

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.

• Kirksville Missouri Hospital Company, LLC

  • General Acute Care Hospital
  • Kirksville, MO
  • NPI 1104899442
  NPD (past)
• Northeast Missouri Health Council Inc

  • Internal Medicine Physician
  • Memphis, MO
  • NPI 1881307155
  NPD (past)

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1700536000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S OSTEOPATHY AVE",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635016401",
            "telephone_number": "660-626-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 ROSEWOOD DR",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635012437",
            "telephone_number": "660-785-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "ANDREA",
        "middle_name": "GREENLEE",
        "name_prefix": "Ms.",
        "credential": "MED CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "114576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Elizabeth Reese, D.O.
• Angela K. Reinsch, RPT
• Renew Counseling LLC
• Rex O Lee D O P C
• Leslie J Reynolds, PTA
• Ian Richmond, PLPC
• Rider Drug Inc
• Mary Ridgeway
• Donald Dean Riley, DDS
• Sarah Rimer, RN

• Speech-Language Pathologist in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.