Kwizera Richard

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN313569 Issued in GA

Practice address

4749 Banner Elk Dr
Stone Mountain, GA 30083-4916

Phone

(404) 944-6826

NPI assigned

Dec 13, 2024

Last updated

Dec 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gaia Health, LLC

  • Home Health Agency
  • Stone Mountain, GA
  • NPI 1891502704
  NPD Authorized official

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

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1790592616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4749 BANNER ELK DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300834916",
            "telephone_number": "404-944-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4749 BANNER ELK DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300834916",
            "telephone_number": "404-944-6826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "KWIZERA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN313569",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "GA",
            "license": "RN313569",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restoring Hope Counseling Services, LLC
• Denise Bailey Revels, LCSW
• Dadreil Chiante Rhodes, PCT
• Lolita Michelle Rhone, PH.D.
• Richard Senior Care Services LLC (Missing Pieces Telehealth Psych LLC)
• Marjorie Richard, MSN
• Djifa Richards Jones, PA C
• Right Choice Home Care
• Rimavision, Inc (Dba, Rimavision Eye Center (Rimavision Eye Center)
• Bridgette Natacha Rimpel

• Registered Nurse in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.