1. Home
  2. Directory
  3. Indiana
  4. South Bend
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

KIAMA MIRACLE RICHARDSON
NPI 1003628702
Student in an Organized Health Care Education/Training Program in South Bend, IN

Active since January 21, 2025PECOS Enrolled
1234 N NOTRE DAME AVE, SOUTH BEND, IN 46617(574) 904-9549 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kiama Miracle Richardson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIAMA MIRACLE RICHARDSON (NPI 1003628702) is an individual student in an organized health care education/training program in South Bend, Indiana and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003628702
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKIAMA MIRACLE RICHARDSON
Location Address1234 N NOTRE DAME AVESouth Bend, IN 46617-1404
Mailing Address1234 N Notre Dame AveSouth Bend, IN 46617-1404 · (574) 904-9549
Phone(574) 904-9549
Sole ProprietorNo
Enumeration DateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
✔ NPI 1003628702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
1234 N NOTRE DAME AVE, South Bend, IN 46617
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kiama Miracle Richardson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANKI ALPESH PATEL
Student in an Organized Health Care Education/Training Program
1234 N NOTRE DAME AVE
SOUTH BEND, IN 46617
St. Joseph County (574) 631-5574
CADEN SHORT
Student in an Organized Health Care Education/Training Program
1234 N NOTRE DAME AVE
SOUTH BEND, IN 46617
St. Joseph County (574) 631-5574
NUHA ZACKARIYA
Student in an Organized Health Care Education/Training Program
1234 N NOTRE DAME AVE
SOUTH BEND, IN 46617
St. Joseph County (574) 631-5574
MICHAEL SORIN HORVATH
Student in an Organized Health Care Education/Training Program
1234 N NOTRE DAME AVE
SOUTH BEND, IN 46617
St. Joseph County (574) 631-1565
GARRETT JAMES WOLFRAM
Student in an Organized Health Care Education/Training Program
1234 N NOTRE DAME AVE
SOUTH BEND, IN 46617
St. Joseph County (574) 218-1187
CAMRYN RAE BARNETT
Student in an Organized Health Care Education/Training Program
1234 N NOTRE DAME AVE
SOUTH BEND, IN 46617
St. Joseph County (574) 631-5574
HEIDI NICOLE KEISER
Student in an Organized Health Care Education/Training Program
1234 N NOTRE DAME AVE
SOUTH BEND, IN 46617
St. Joseph County (574) 631-5574
MS. AIDAN IRENE GWARTNEY
Student in an Organized Health Care Education/Training Program
1234 N NOTRE DAME AVE
SOUTH BEND, IN 46617
St. Joseph County (574) 631-5574

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kiama Richardson's NPI number?

The NPI number for Kiama Richardson is 1003628702. It was assigned to this individual provider in the NPPES registry on January 21, 2025.

Where is Kiama Richardson located?

Kiama Richardson practices at 1234 N Notre Dame Ave, South Bend, IN 46617. The listed phone number is (574) 904-9549.

What is Kiama Richardson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kiama Richardson enrolled in Medicare?

Yes. Kiama Richardson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kiama Richardson was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.