Tyronda Shuree Richardson, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R865931 Issued in MS

Practice address

1500 E. Woodroow Wilson Drive
GV Sonny Montgomery Department of Veteran Affairs
Jackson, MS 39216

Phone

(601) 362-4471

Fax

(601) 364-1425

NPI assigned

Sep 7, 2006

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962506360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 KINGS RIDGE CIR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390476030",
            "telephone_number": "601-992-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E. WOODROOW WILSON DRIVE",
            "address_2": "GV SONNY MONTGOMERY DEPARTMENT OF VETERAN AFFAIRS",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39216",
            "telephone_number": "601-362-4471",
            "fax_number": "601-364-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "TYRONDA",
        "middle_name": "SHUREE",
        "name_prefix": "Mrs.",
        "credential": "CFNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R865931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Richardson, NNP
• Karen S Richardson, LPC
• Kiara S Richardson, MD
• Leigh Ann Richardson, L.P.C
• Samuel Milton Richardson III, M.D.
• Vivian Richardson
• William Richardson
• William Trent Richardson Jr., MD
• Daniel M Riche, PHARM.D.
• Allen Carl Richert, M.D.

• Family Nurse Practitioner in Jackson, MS
• Providers in Jackson, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.