Individual
SHACONYA L RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
714 LYNDON LN STE 6, LOUISVILLE, KY 40222-4643
(502) 243-5565
Mailing address
6007 COUNT TURF DR, LOUISVILLE, KY 40272-3549
(502) 243-5565
(502) 772-8983
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3010019
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
28196212A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3010019
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100443600
—
KY
Enumeration date
02/23/2016
Last updated
03/19/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us