Audra L Richardson

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

4000 S Eastern Ave
Las Vegas, NV 89119-0824

Phone

(702) 848-1696

NPI assigned

Sep 11, 2024

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

Practice roles

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.

• Mingo Health Solutions

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1023720240
  NPD (past)
• Mingo Health Solutions

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1447612718
  NPD (past)

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1780410126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 S EASTERN AVE STE 400",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190824",
            "telephone_number": "702-848-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190824",
            "telephone_number": "702-848-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "AUDRA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leilani Ani Richardson-James
• Wanda Oray Richardson-Smith
• Adrianne Richardson
• Andrew Richardson
• Angela Richardson
• Aundrea Richardson
• Breanna Catric Richardson
• Brittany Richardson
• Chamaine Richardson
• Charles Richardson

• Assistant Behavior Analyst in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Assistant Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.