# AMY LYNN RICHARDSON

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1235512740
- **Gender:** F
- **Credential:** FNP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 28237994A | IN | Yes |
| 363L00000X | Nurse Practitioner | 3009439 | KY | — |
| 363LF0000X | Family Nurse Practitioner | 3009439 | KY | — |
| 363LF0000X | Family Nurse Practitioner | COA.17493-NP | OH | — |

## Other

- **Enumeration date:** 07/01/2015
- **Last updated:** 02/09/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0158138 | — | OH |
| 05 | — | 300019560 | — | IN |
| 05 | — | 7100357790 | — | KY |
| 01 | — | P01610834 | RR MEDICARE | KY |