Josephine Richardson Polch, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP3265842 Issued in FL

Practice address

1120 10TH St E
Palmetto, FL 34221-4134

Phone

(941) 847-7903

Fax

(941) 847-7919

NPI assigned

Sep 22, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Josephine Richardson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Optumcare Florida Ci, LLC

  • Primary Care Clinic/Center
  • Winter Park, FL
  • NPI 1720506603
  NPD (past)

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1841524048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 SUNFOREST DR",
            "address_2": "STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336346327",
            "telephone_number": "941-847-7903",
            "fax_number": "941-847-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 10TH ST E",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342214134",
            "telephone_number": "941-847-7903",
            "fax_number": "941-847-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLCH",
        "first_name": "JOSEPHINE",
        "middle_name": "RICHARDSON",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-22",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP3265842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001569500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPHINE",
            "last_name": "RICHARDSON",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carla Petree
• Christina M. Petrick, M.A., CCC-SLP
• Pharmcare USA of Florida LLC (Pharmcare USA of Sarasota)
• Nakesha Sherina Phillips
• Mandy Poginy, APRN
• Vivian Ilene Polin, OTR
• James Ellis Pope, M.D.
• Positive Therapeutics
• Jeffrey R. Powell, P.T.A.
• Precision ABA Inc

• Nurse Practitioner in Palmetto, FL
• Providers in Palmetto, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.