Kristopher L Richardson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA02807 Issued in TX

Practice address

6000 S Staples St
Suite 406
Corpus Christi, TX 78413-2952

Phone

(361) 993-4835

Fax

(361) 993-7043

NPI assigned

Oct 31, 2005

Sex

Male

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Grace & Kristopher Richardson PLLC

  • Psychiatry Physician
  • San Antonio, TX
  • NPI 1346906062
  NPD Authorized official
• Kristopher L. Richardson, PA-C, PLLC

  • Psychiatry Physician
  • San Antonio, TX
  • NPI 1528738978
  NPD Authorized official
• Bay Area Psychiatry Services PC

  • Psychiatry Physician
  • Corpus Christi, TX
  • NPI 1235898701
  NPD (past)
• Ghep Corpus Christi PLLC

  • Emergency Medicine Physician
  • Corpus Christi, TX
  • NPI 1174511133
  NPD (past)
• Jaime D Sandoval M.D., P.a.

  dba Padre Coast Medical Associates

  • Internal Medicine Physician
  • Corpus Christi, TX
  • NPI 1518987031
  NPD (past)
• Raul R Capitaine Mdpa

  • Psychiatry Physician
  • Corpus Christi, TX
  • NPI 1548445075

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1861483984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271190",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784271190",
            "telephone_number": "361-993-4835",
            "fax_number": "361-993-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 S STAPLES ST",
            "address_2": "SUITE 406",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784132952",
            "telephone_number": "361-993-4835",
            "fax_number": "361-993-7043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "KRISTOPHER",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216948402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard L. Ingraham, DDS, Ms, PA
• Emilia C Richard, LCSW
• Fred Tilman Richards Jr., DDS
• Jessica Ann Richards, PT, DPT
• Stacy Crider Richards, OTR
• Erin Richmond, RN
• Madison Ricker
• Ricky Scott Hudson (Horizon Ostomy Supply)
• Riesberg Anesthesia LLC (SnoozeSwell Anesthesia)
• Ashley Riesberg

• Physician Assistant in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.