Derenda Richardson

Primary specialty

NaturopathTaxonomy code 175F00000X

License

NT00001372 Issued in WA

Legal business name

DERENDA RICHARDSON

Practice address

1514 Commerce Ave
Longview, WA 98632-4102

Phone

(360) 353-3822

NPI assigned

Jun 25, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Derenda Joelle Richardson, ND

Title

Owner, Physician

Phone

(360) 353-3822

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lindsay Jane Schwinn, N.D.

  • Naturopath
  • Longview, WA
  • NPI 1598990541
  NPD (past)

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1831453828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 COMMERCE AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324102",
            "telephone_number": "360-353-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 COMMERCE AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324102",
            "telephone_number": "360-353-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERENDA RICHARDSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-25",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "DERENDA",
        "authorized_official_middle_name": "JOELLE",
        "authorized_official_title_or_position": "OWNER, PHYSICIAN",
        "authorized_official_telephone_number": "360-353-3822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT00001372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1447269428",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DEPT OF HEALTH LICENSE",
            "identifier": "NT00001372",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandi Renee Deleon, CNA
• Lisa Chelan Deleon, L.M.P.
• Amber S Delong
• Tori May Demyer, PHARMD
• Kathleen E Derby-Ray, MS, LMHCA
• Sara Derenge, ARNP
• Aleksis Desrosier
• Harrison H Detroja, MSN, PMHNP-BC
• David F Devidal, PHD
• Haley Dewitz, BS, R-AAC

• Naturopath in Longview, WA
• Providers in Longview, WA by specialty
• Naturopath in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.