Richelle Marie Richards, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP0181 Issued in AZ

Practice address

20613 N 63Rd Dr
Glendale, AZ 85308-6615

Phone

(602) 882-8121

Fax

(623) 842-2844

NPI assigned

Mar 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770612368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20613 N 63RD DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086615",
            "telephone_number": "602-882-8121",
            "fax_number": "623-842-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20613 N 63RD DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086615",
            "telephone_number": "602-882-8121",
            "fax_number": "623-842-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "RICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP0181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE SPEECH LICENSE",
            "identifier": "SLP0181",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard E Feldhake,DMD,PC
• Richard Marshall, DMD, PLLC
• Juanita Mae Richard, M. ED
• Wendy Richard, MA, MSW, LCSW
• Kimberly Richards
• Naomi Richardson
• Patty Richardson, BSE, SLPA
• Phillip E Richardson, D.P.M.
• Scott Ronald Richardson, MPT
• Shannon Richardson, DPT

• Speech-Language Pathologist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.