Theresa A Richardson, RN
Individual provider Active NPI Registered Nurse · Chittenango, NY
NPI 1902152127 · NPPES record last updated Jul 25, 2012
Key facts
- NPI
- 1902152127
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 655066-1 (NY)
- Practice address
- 135 Laura CT
Chittenango, NY 13037-1508 - Phone
- (315) 687-7075
- NPI assigned
- Jul 25, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 655066-1 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 655066-1 | NY | Yes |
Addresses
Primary practice location
135 Laura CT
Chittenango, NY 13037-1508
Mailing address
135 Laura CT
Chittenango, NY 13037-1508
Phone (315) 687-7075
Other providers in Chittenango, NY
- Cheryl A Pavlov-Shapiro
- Cynthia F Phillips
- Podiatry Services of Central New York, PC
- Nancy Poore
- Heidi S Puc
- Rite Aid of New York Inc
- Hanna Rogers
- Rajoana Rojony
- Zachary Rosado
- Laura Sanfilippo
All providers in Chittenango, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.