Brenda Elouise Richardson, RD is a
Dietitian, Registered based in Pekin, Indiana. Brenda Elouise Richardson is licensed to practice in Indiana (license number 37000580A) and her current practice location is
6060 E Greenbriar Rd W, Pekin, Indiana. She can be reached at her office (for appointments etc.) via phone at
(812) 276-1933.
NPI number for Brenda Elouise Richardson is 1295955888 and her current mailing address is 6060 E Greenbriar Rd W, Pekin, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295955888.
Healthcare Provider's Profile
Full Name | Brenda Elouise Richardson |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 6060 E Greenbriar Rd W, Pekin, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295955888
- Provider Enumeration Date: 04/26/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Brenda Elouise Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295955888 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 37000580A (Indiana) | Primary |
133V00000X | Dietitian, Registered | KY-1743 (Kentucky) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brenda Elouise Richardson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Brenda Elouise Richardson, RD 6060 E Greenbriar Rd W, Pekin, IN 47165-8205 Ph: (812) 276-1933 | Brenda Elouise Richardson, RD 6060 E Greenbriar Rd W, Pekin, IN 47165-8205 Ph: (812) 276-1933 |
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