Active NPI
Kimberlyn C Richardson
- Non-emergency Medical Transport (VAN)
- Scotland Neck, NC
National Provider Identifier
1780576074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 058970967
- Practice address
- 1919 Clarksville Dr
Scotland Neck, NC 27874-1427 - Phone
- (803) 768-0823
- NPI assigned
- Jul 19, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 058970967 | GA | Primary |
Addresses
Primary practice location
1919 Clarksville Dr
Scotland Neck, NC 27874-1427
Mailing address
1919 Clarksville Dr
Scotland Neck, NC 27874-1427
Phone (803) 768-0823
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 058970967 | GA | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752883200000",
"number": "1780576074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 CLARKSVILLE DR",
"city": "SCOTLAND NECK",
"state": "NC",
"postal_code": "278741427",
"telephone_number": "803-768-0823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 CLARKSVILLE DR",
"city": "SCOTLAND NECK",
"state": "NC",
"postal_code": "278741427",
"telephone_number": "803-768-0823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "KIMBERLYN",
"middle_name": "C",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-19",
"last_updated": "2025-07-19",
"certification_date": "2025-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "GA",
"license": "058970967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scotland Neck, NC
- Northeastern Clinical Network Services, Inc
- Our Community Hospital, Inc
- Our Community Hospital, Inc
- Our Community Hospital, Inc
- Emily Grace Polhamus, APRN
- Rural Carolina Ambulance Service, LLC
- Rural Health Group, Inc. (Rural Health Group at Scotland Neck)
- Scotland Neck Family Medical Center, Inc.
- Scotland Neck NC Opco LLC (Scotland Manor Health and Rehabilitation Center)
- Christopher A Smith, PHARM.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.