Nakesta Richardson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703117377 Issued in MI

Practice address

9994 Bramell
Detroit, MI 48239-1304

Phone

(313) 587-1091

NPI assigned

Apr 14, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1720607237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9994 BRAMELL",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482391304",
            "telephone_number": "313-587-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9994 BRAMELL",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482391304",
            "telephone_number": "313-587-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "NAKESTA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "MI",
            "license": "4703117377",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703117377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Richardson, CCC-SLP
• Joshua Daniel Richardson, DO
• Kristen Richardson
• Margaret Richardson, AAS,CCJP,CACD,ICRC
• Megan Richardson, RN, SRNA
• Nicole Chandra Richardson, PSYD
• Teka Lovece Richardson
• Therone Richardson, LBSW
• Zsalanda Vonescia Richardson, MSW
• Danielle Richmond

• Licensed Practical Nurse in Detroit, MI
• Providers in Detroit, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.