Bianca Richardson

Primary specialty

SpecialistTaxonomy code 174400000X

License

1912409

Practice address

115 Kohlers Xing Ste 450
Kyle, TX 78640-2464

Phone

(737) 615-8436

NPI assigned

Oct 10, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1700667375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 KOHLERS XING STE 450",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786402464",
            "telephone_number": "737-615-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 KOHLERS XING STE 450",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786402464",
            "telephone_number": "737-615-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "BIANCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": "1912409",
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "TX",
            "license": "1912409",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": "1912409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Renee Reyes
• Kassandra Reyes, DO
• Xochil Reyes
• Katelyn Sumlin Reynolds, DPT
• Jennifer Jade Rhea, APRN
• Rickie Fleck LCSW PLLC
• Sharon Linda Ricks, MA, CHW
• Tyler Marguerite Ricks, M.S., LPC-ASSOCIATE
• Michelle Rider Watson, RN
• Lisa G Rietvelt, CCC-SLP

• Specialist in Kyle, TX
• Providers in Kyle, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.