KEEAUNDRA RICHARDSON
NPI 1104589639
Social Worker in Nashville, AR
About Keeaundra Richardson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEEAUNDRA RICHARDSON (NPI 1104589639) is an individual social worker in Nashville, Arkansas and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keeaundra Richardson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Keeaundra Richardson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
- Reassigned Medicare billing, Arkansas enrollment
- 32 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 Keeaundra Richardson's NPI number?
The NPI number for Keeaundra Richardson is 1104589639. It was assigned to this individual provider in the NPPES registry on October 21, 2021.
Where is Keeaundra Richardson located?
Keeaundra Richardson practices at 508 N 2nd St, Nashville, AR 71852. The listed phone number is (870) 455-0134.
What is Keeaundra Richardson's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Keeaundra Richardson enrolled in Medicare?
Yes. Keeaundra Richardson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Keeaundra Richardson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keeaundra Richardson reassigns Medicare benefits to Cornerstone Counseling Clinic, Inc. (AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keeaundra Richardson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Keeaundra Richardson was last updated on February 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Keeaundra Richardson · NPI 1104589639
Social Worker provider in Nashville, Arkansas. Individual provider, active in the CMS NPPES registry since October 21, 2021.
## Identity
- **NPI:** 1104589639 (Entity type: Individual)
- **Enumerated:** October 21, 2021
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **Sole proprietor:** No
## Practice location
- **Address:** 508 N 2ND ST, Nashville, AR 71852-3925
- **Phone:** (870) 455-0134
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Cornerstone Counseling Clinic, Inc. (AR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** February 23, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1104589639) · Data from the CMS NPPES public registry.