CALLY RICHARDSON (NPI# 1780279158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780279158 |
| Entity Type | Individual |
| Full Name | CALLY RICHARDSON |
| Gender | Female |
| Practice Address | 4170 City Ave Philadelphia PA 19131-1610 |
| Practice Telephone | 2158716100 |
| Mailing Address | 4170 City Ave Philadelphia PA 19131-1610 |
| Certification Date | 2021-03-07 |
| Enumeration Date | 2021-03-07 |
| Last Update Date | 2021-03-07 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address | 4170 CITY AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19131-1610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023601218 | Shaina Yadav | Student in an Organized Health Care Education/Training Program | 4170 City Ave, Philadelphia, PA 19131-1610 | 2021-02-18 |
| 1164001830 | Nicole Elizabeth Hatchard | Student in an Organized Health Care Education/Training Program | 4170 City Ave, Philadelphia, PA 19131-1694 | 2021-04-07 |
| 1285212126 | Kelsey Taylor Faux-Dugan | Student in an Organized Health Care Education/Training Program | 4170 City Ave, Philadelphia, PA 19131-1610 | 2021-03-31 |
| 1093393035 | Manzy Byrd | Student in an Organized Health Care Education/Training Program | 4170 City Ave, Philadelphia, PA 19131-1610 | 2021-03-31 |
| 1306424858 | Lee-Mary Amara Njoku | Student in an Organized Health Care Education/Training Program | 4170 City Ave, Philadelphia, PA 19131-1610 | 2021-03-29 |
| 1669059242 | Angel L Berry | Student in an Organized Health Care Education/Training Program | 4170 City Ave, Philadelphia, PA 19131-1610 | 2021-03-28 |
| 1558947176 | Sueaen Q Daly | Student in an Organized Health Care Education/Training Program | 4170 City Ave, Philadelphia, PA 19131-1610 | 2021-03-23 |
| 1053997064 | Tyler Alec Simowitz | Student in an Organized Health Care Education/Training Program | 4170 City Ave, Philadelphia, PA 19131-1610 | 2021-03-20 |
| 1730774365 | Veronica Kim-Quy Pham | Student in an Organized Health Care Education/Training Program | 4170 City Ave, Philadelphia, PA 19131-1610 | 2021-03-05 |
| 1881289965 | Bruna Kiane Ruthner | Student in an Organized Health Care Education/Training Program | 4170 City Ave, Philadelphia, PA 19131-1610 | 2021-03-01 |
| Find all providers in the same address | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942886700 | Arielle Worth | Student in an Organized Health Care Education/Training Program | 4170 City Line Ave, Philadelphia, PA 19131-1610 | 2021-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
| 1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center · Rehabilitation | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
| 1033735071 | Provision Point LLC | Durable Medical Equipment & Medical Supplies · Dialysis Equipment & Supplies | 2560 Belmont Ave, Philadelphia, PA 19131 | 2020-06-24 |
| 1033748264 | Mona Anne Dasgupta | Student in an Organized Health Care Education/Training Program | Philadelphia College of Osteopathic Medicine, 4170 City Ave, Philadelphia, PA 19131 | 2020-04-08 |
| 1134774888 | Arti D Mistry | Dentist · General Practice | 1126 Horsham Road, Philadelphia, PW 19131 | 2019-08-08 |
| 1275187221 | Grace Bernadette Farrelly | Occupational Therapist · Gerontology | 2101 Simpson House, Philadelphia, PA 19131 | 2019-07-29 |
| 1114417060 | Christopher Maroon | Dentist · General Practice | 1575 N 52nd St Ste 705, Philadelphia, PA 19131 | 2018-05-16 |
| 1235633900 | Nadja Hill | Home Health | 5203 Diamond Street, Philadelphia, PA 19131 | 2018-03-19 |
| 1578092235 | Sarah Marie Hoder | Specialist/Technologist · Athletic Trainer | 4000 Presidential Avenue, Philadlephia, PA 19131 | 2017-06-07 |
| 1962942771 | American Management Group | Dentist · Oral and Maxillofacial Surgery | 3900 City Avenue Apt W1101, Philadelphia, PA 19131 | 2017-02-27 |
| Find all providers in zip 19131 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710567003 | Sage Anna Vincent | 1025 Walnut St Ste 1100, Philadelphia, PA 19107-5001 | 2021-04-11 | |
| 1417537713 | Nabil Darwich | 2204 Kimball St, Philadelphia, PA 19146-2524 | 2021-04-11 | |
| 1134708852 | Ashley Elizabeth Traczuk | 1025 Walnut St Ste 805, Philadelphia, PA 19107-5001 | 2021-04-08 | |
| 1003495805 | Celeste Elizabeth Chitters | 833 Chestnut St Fl, Philadelphia, PA 19107-4414 | 2021-04-07 | |
| 1013596063 | Erin Nicole Hoag | 1020 Sansom St Ste 1651b, Philadelphia, PA 19107-5002 | 2021-04-06 | |
| 1295314581 | Sarah Frank | 596 Acorn St, Philadelphia, PA 19128-2504 | 2021-04-05 | |
| 1649859919 | Shyle Mehta | 1835 Arch St Apt 910, Philadelphia, PA 19103-2779 | 2021-04-05 | |
| 1073191656 | Cindy Duong | 2510 Coral St, Philadelphia, PA 19125-1312 | 2021-04-01 | |
| 1811575871 | Jessica Kraus-Lavy | 114 Richmond St Apt 1, Philadelphia, PA 19125-4182 | 2021-03-31 | |
| 1174101497 | Ian Wilson Dale | 328 Hermit St Fl 1, Philadelphia, PA 19128-5128 | 2021-03-30 | |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730496530 | Cally M Dwyer · Cally M Gores-Todd | Physician Assistant | 700 S Park St, Madison, WI 53715-1830 | 2010-09-01 |
| 1588118178 | Cally J Smith · Cally J Cook | Nurse Practitioner | 5114 N Glen Park Place Rd, Peoria, IL 61614-4686 | 2016-08-11 |
| 1457690174 | Cally Elizabeth Nicholson · Cally Elizabeth Agnor | Counselor · Professional | 2101 W Loop 281, Longview, TX 75604-2506 | 2013-02-01 |
| 1164729729 | Cally Mckemie Dingler · Cally Mckemie Claussen | Nurse Practitioner · Pediatrics | 503 Hill Street, Lufkin, TX 75904 | 2011-02-17 |
| 1568685667 | Cally Haber · Cally Haber | Acupuncturist | 709 Frederick St, Santa Cruz, CA 95062-2204 | 2007-04-10 |
| 1609963768 | Surgery Center of Richardson Physicians Partnership Lp · Baylor Surgicare of Richardson | Clinic/Center · Ambulatory Surgical | 610 N Coit Rd, Suite 2120, Richardson, TX 75080-5457 | 2006-10-09 |
| 1265663793 | Rmr Healthcare Richardson, LLC · Remington Medical Resort- Richardson | Skilled Nursing Facility | 1350 E Lookout Dr, Richardson, TX 75082-4106 | 2009-07-31 |
| 1750869715 | Regency Ihs of Richardson LLC · Remington Transitional Care of Richardson | Skilled Nursing Facility | 1350 E Lookout Dr, Richardson, TX 75082 | 2018-08-01 |
| 1972566867 | Dallas County Hospital District · The Plaza At Richardson | Skilled Nursing Facility | 1301 Richardson Dr, Richardson, TX 75080-4648 | 2006-04-11 |
| 1356851802 | Richardson Integrated Health · Richardson Pain and Wellness | Chiropractor | 777 S Central Expy Ste 6d, Richardson, TX 75080-7421 | 2017-10-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.