Kendra Sherrice Richardson

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN264187 Issued in GA

Practice address

1101 Hospital Dr Ste 200
Stockbridge, GA 30281-9076

Phone

(678) 289-5488

NPI assigned

Jul 29, 2021

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

Enrolled in GA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Physician Disability Examination Services Inc

  • Physical Medicine & Rehabilitation Physician
  • Warner Robins, GA
  • NPI 1487064051
  Medicare reassignment NPD
• The Southeast Permanente Medical Group

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1245266956
  Medicare reassignment NPD
• Physician Disability Examination Services Inc

  • Pain Clinic/Center
  • Albany, GA
  • NPI 1740587641
  NPD (past)

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1952074445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 HOSPITAL DR STE 200",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 HOSPITAL DR STE 200",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819076",
            "telephone_number": "678-289-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "KENDRA",
        "middle_name": "SHERRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN264187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Paul Errington Reynolds
• Shahram Rezaiamiri, M.D.
• Yolanda Rhetta, PHARM.D., RPH.
• Kyoo Ricard, MD
• Qunisha T Richard, RBT
• Selina Maria Richardson, RN, IBCLC
• Jewel Richmond
• Stacie Lynn Ricketts-McCook, NP
• Kamal Dante Riggins
• Karen Denise Rigsby, NP

• Primary Care Nurse Practitioner in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Primary Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.