DR. KASSIDY RICHARDSON DO
NPI 1184314940
Student in an Organized Health Care Education/Training Program in Jonesboro, AR

Active since May 15, 2023PECOS EnrolledAccepts Medicare Assignment
4800 E JOHNSON AVE, JONESBORO, AR 72405(870) 936-8000 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kassidy Richardson Do NPPES

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

DR. KASSIDY RICHARDSON DO (NPI 1184314940) is an individual student in an organized health care education/training program in Jonesboro, Arkansas and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1184314940
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. KASSIDY RICHARDSONCredential: DO
Location Address4800 E JOHNSON AVEJonesboro, AR 72405-8413
Mailing Address4800 E Johnson AveJonesboro, AR 72405-8413 · (870) 936-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 15, 2023
NPPES CertifiedMay 13, 2023
NPI 1184314940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

4800 E JOHNSON AVE, Jonesboro, AR 72405

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kassidy Richardson Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355798844
PECOS Enrollment IDI20250430001571
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.

Internal Medicine
4800 E JOHNSON AVE
JONESBORO, AR 72405
Physical Therapist
4800 E JOHNSON AVE
JONESBORO, AR 72405
Student in an Organized Health Care Education/Training Program
4800 E JOHNSON AVE
JONESBORO, AR 72405
Hospitalist
4800 E JOHNSON AVE
JONESBORO, AR 72405
Student in an Organized Health Care Education/Training Program
4800 E JOHNSON AVE
JONESBORO, AR 72405
Student in an Organized Health Care Education/Training Program
4800 E JOHNSON AVE
JONESBORO, AR 72405
Nurse Anesthetist, Certified Registered
4800 E JOHNSON AVE
JONESBORO, AR 72405
Nurse Practitioner (Family)
4800 E JOHNSON AVE
JONESBORO, AR 72405

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 Kassidy Richardson's NPI number?

The NPI number for Kassidy Richardson is 1184314940. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Where is Kassidy Richardson located?

Kassidy Richardson practices at 4800 E Johnson Ave, Jonesboro, AR 72405. The listed phone number is (870) 936-8000.

What is Kassidy 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 Kassidy Richardson enrolled in Medicare?

Yes. Kassidy Richardson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kassidy Richardson was last updated on May 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.