Alexis Richardson, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC13515 Issued in CA

Practice address

88 Mesa Rd
Bolinas, CA 94924

Phone

(415) 663-8666

NPI assigned

Apr 20, 2012

Last updated

Jun 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1841557337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "city": "POINT REYES STATION",
            "state": "CA",
            "postal_code": "949560910",
            "telephone_number": "415-663-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 MESA RD",
            "city": "BOLINAS",
            "state": "CA",
            "postal_code": "94924",
            "telephone_number": "415-663-8666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2260 Worden St",
            "address_2": "Apt 14",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921071616",
            "country_code": "US",
            "telephone_number": "619-723-5153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Sixth Street",
            "address_purpose": "LOCATION",
            "city": "Point Reyes Station",
            "state": "CA",
            "postal_code": "94956",
            "country_code": "US",
            "telephone_number": "415-663-8666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "ALEXIS",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-20",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC13515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camilla Anne Ford, MFT
• Grace Mary Godino, MFT
• Dale J Johnson, RN NP
• Wendi S Joiner, MD
• Petaluma Health Center Inc (Bolinas Family Practice)
• Gary Rosenblatt
• Annemarie Christine Russo, LM
• Michael Jay Samuels, M.D.

• Acupuncturist in Bolinas, CA
• Providers in Bolinas, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.