Kelli Richards, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL2457 Issued in FL

Practice address

6100 Kennerly Rd Ste 201
Jacksonville, FL 32216-4379

Phone

(904) 636-5335

Fax

(904) 636-5330

NPI assigned

Apr 9, 2008

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

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": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1871766097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10550 BAYMEADOWS RD UNIT 609",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 KENNERLY RD STE 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164379",
            "telephone_number": "904-636-5335",
            "fax_number": "904-636-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "KELLI",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL2457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caron Litrice Richards
• Debra Richards
• Helena Gutierrez Richards, LCSW
• Jade Cassidy Richards, RBT
• Jenoria S Richards
• Lasania Richards
• Lukas W Richards, M.D.
• O'Neil Richards
• Sherry K Richards, PH.D.
• Sydney Richards, IMH

• Athletic Trainer in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.