KEEAUNDRA RICHARDSON
NPI 1104589639
Social Worker in Nashville, AR

Q: 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.

Q: What is Keeaundra Richardson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Active since October 21, 2021PECOS Enrolled

508 N 2ND ST, NASHVILLE, AR 71852(870) 455-0134 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 23, 2022, Dec 20, 2021, Oct 21, 2021 (3 updates tracked since 2021).

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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

NPI1104589639

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameKEEAUNDRA RICHARDSON

Location Address508 N 2ND STNashville, AR 71852-3925

Mailing Address508 N 2nd StNashville, AR 71852-3925 · (870) 808-7000

Phone(870) 455-0134

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 21, 2021

Last NPPES UpdateFebruary 23, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2022

✔ NPI 1104589639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

508 N 2ND ST, Nashville, AR 71852

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID4789153891

PECOS Enrollment IDI20260519001231

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.

CATHERINE ELLIS

Social Worker