Tisha Denise Richardson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L 0050611 Issued in OK

Practice address

8000 Breezewood Dr
Oklahoma City, OK 73135-6338

Phone

(405) 501-6939

NPI assigned

May 18, 2012

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": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1851651327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 BREEZEWOOD DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731356338",
            "telephone_number": "405-501-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 BREEZEWOOD DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731356338",
            "telephone_number": "405-501-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "TISHA",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-18",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "L 0050611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Denese Richardson, PA-C
• Shannon Richardson, RN, RD/LD, CDCES
• Shawna Nekol Richardson, B.S.
• Tara H Richardson
• Timothy Jace Richardson, PA
• Trudy T. Richardson, P. T.
• Willard Keith Richardson
• Kacy Anne Richburg, MD
• Crystal Lee Richerson, PA-C
• Emily Serena Richert, APRN

• Licensed Practical Nurse in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Licensed Practical Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.