Chelsea Diane Richardson

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT-629 Issued in ID

Practice address

875 Perimeter Dr
Moscow, ID 83844-8660

Phone

(208) 885-0225

NPI assigned

Aug 8, 2014

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992114482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11062 OAK SPUR CT APT H",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631461975",
            "telephone_number": "909-319-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 PERIMETER DR",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838448660",
            "telephone_number": "208-885-0225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 College Park Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418660",
            "country_code": "US",
            "telephone_number": "314-485-8415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "CHELSEA",
        "middle_name": "DIANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ID",
            "license": "AT-629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belinda Rhodes, LMT
• Matthew Rice, DO
• Mindy Rice, RDN, LD
• Laura C Richards, PH.D.
• Shawn Charles Richards, M.D
• Shelley R Ringo, MD
• Jazmin Rizo Gonzalez, LMSW
• Doty M Robbins, MSW, LICSW, LCSW
• Rodger Dean Robertson, O.D.
• Alvaro Robles

• Athletic Trainer in Moscow, ID
• Providers in Moscow, ID by specialty
• Athletic Trainer in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.