Dora L Richardson, RN, CNP
Individual provider Active NPI Nurse Practitioner · Westlake, OH
NPI 1922037332 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1922037332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- NP04192 (OH)
- Practice address
- 24165 Detroit Rd
Westlake, OH 44145-1516 - Phone
- (440) 250-3560
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1761 Beall Ave
Wooster, OH 44691-2342
Phone (330) 975-4266
Hospital & facility affiliations
- Summa Home Health and Hospice LLC
- Home Health Services Wooster Community Hospital
- Wooster Community Hospital
- Summa Health System
- Lodi Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080409000534 | OH | Practitioner - Nurse Practitioner | 0446337828 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP04192 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| After Hours Family Medicine LLC | Current |
Accepting new patients | |
| Psychological Transitions, Inc | Past | Accepting new patients | |
| Qofl Services LLC | Nurse Practitioner | Past | Accepting new patients |
| Nordonia Hills Clinic Inc | Past | Accepting new patients |
Locations
18 E Main St
Seville, OH 44273
Phone (330) 769-2941
1761 Beall Ave
Wooster, OH 44691
Phone (330) 263-8100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP04192 | OH | Yes |
Addresses
Primary practice location
24165 Detroit Rd
Westlake, OH 44145-1516
Mailing address
6984 Lafayette Rd
Medina, OH 44256-8580
Phone (330) 723-4048
Other providers in Westlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.