Elizabeth Damon Richardson, RNC/NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

251230 Issued in TX

Practice address

3851 Roger Brooke Dr
McHe-QD(Creds)
Fort Sam Houston, TX 78234-4501

Phone

(210) 916-5477

Fax

(210) 916-1021

NPI assigned

Nov 30, 2005

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

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1700860046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15027 MORNING PATH",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473396",
            "telephone_number": "210-916-5477",
            "fax_number": "210-916-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 ROGER BROOKE DR",
            "address_2": "MCHE-QD(CREDS)",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344501",
            "telephone_number": "210-916-5477",
            "fax_number": "210-916-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "ELIZABETH",
        "middle_name": "DAMON",
        "name_prefix": "Mrs.",
        "credential": "RNC/NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "251230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Andrew Reynolds, D.O.
• Elizabeth Marie Reynolds
• Joshua Rice, MD
• Holly Richard
• Thomas Joseph Richard, M.D.
• Bryan Richley
• Stacy Leigh Rider, PSY.D.
• Tabitha Riley, APRN
• Roger Scott Rinehart, PA-C
• Crystal Botello Riojas, MSN APRN FNP-C

• Women's Health Nurse Practitioner in Fort Sam Houston, TX
• Providers in Fort Sam Houston, TX by specialty
• Women's Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.