Individual provider Active NPI

Lavida Judith Thomas-Richardson, MD

  • Family Medicine Physician
  • Marathon, FL
National Provider Identifier
1700828373
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME86296 Issued in FL
Practice address
3303 Overseas Hwy Ste 100
Marathon, FL 33050-2329
Phone
(305) 434-1400
Fax
(305) 743-0962
NPI assigned
Jun 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME86296 FL Primary

Addresses

Primary practice location

3303 Overseas Hwy Ste 100
Marathon, FL 33050-2329

Mailing address

PO Box 100707
Atlanta, GA 30384-0707
Phone (786) 662-7980

Other practice location 1

9580 Applecross Rd Ste 106
Jacksonville, FL 32222-5843
Phone (904) 778-9180

Other identifiers 3

IdentifierTypeStateIssuer
209336087BMedicaidGA
276406700MedicaidFL
54249OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040714001531 FL Practitioner - Family Practice 5799764668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Howard University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group Upper Keys LLCGroup PAC ID 4688763030, 25 clinicians

Practice addresses (Care Compare)

3303 Overseas Hwy
Suite 100
Marathon, FL 33050-2329
Phone (305) 434-1400

Hospital & facility affiliations

  • Island Home Care Home health agency, Key West, FL, CCN 109772
  • Fishermen'S Community Hospital Hospital, Marathon, FL, CCN 101312
  • Mariners Hospital Hospital, Tavernier, FL, CCN 101313
  • Homestead Hospital Hospital, Homestead, FL, CCN 100125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Upper Keys, LLC CurrentSince Sep 8, 2025 Accepting new patients
Baptist Health Medical Group Upper Keys, LLC CurrentSince Sep 8, 2025 Accepting new patients
Avecina Medical PA Past Accepting new patients

Locations

3303 Overseas Hwy
Ste 100
Marathon, FL 33050
Phone (305) 434-1400

91550 Overseas Hwy
Ste 205
Tavernier, FL 33070
Phone (305) 434-3400

Interoperability endpoints

  • Direct secure messaging: lavida.thomasrichardson@wellmed.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1700828373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100707",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303840707",
            "telephone_number": "786-662-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 OVERSEAS HWY STE 100",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330502329",
            "telephone_number": "305-434-1400",
            "fax_number": "305-743-0962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9580 Applecross Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322225843",
            "country_code": "US",
            "telephone_number": "904-778-9180",
            "fax_number": "904-778-9740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS-RICHARDSON",
        "first_name": "LAVIDA",
        "middle_name": "JUDITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME86296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209336087B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276406700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "54249",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marathon, FL

Sources for this page

Verify at the official NPI Registry.