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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LEESHA NICOLE RICHARDSON AGNP-C
NPI 1336073766
Nurse Practitioner - Gerontology in Phoenix, AZ

Active since June 10, 2026
2902 W AGUA FRIA FWY STE 1000, PHOENIX, AZ 85027(602) 609-2691 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Leesha Nicole Richardson Agnp-c NPPES

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

LEESHA NICOLE RICHARDSON AGNP-C (NPI 1336073766) is an individual gerontology provider in Phoenix, Arizona, licensed in Arizona (APRN-RNP280542) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1336073766
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameLEESHA NICOLE RICHARDSONCredential: AGNP-C
Location Address2902 W AGUA FRIA FWY STE 1000Phoenix, AZ 85027-3969
Mailing Address2133 W Tanya TrlPhoenix, AZ 85086-4372
Phone(602) 609-2691
Sole ProprietorYes
Enumeration DateJune 10, 2026
Last NPPES UpdateSeptember 2, 2026
NPPES CertifiedSeptember 2, 2026
✔ NPI 1336073766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in AZ · APRN-RNP280542
2902 W AGUA FRIA FWY STE 1000, Phoenix, AZ 85027
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

SARA LEACH FNP-C
Nurse Practitioner
2902 W AGUA FRIA FWY STE 1000
PHOENIX, AZ 85027
Maricopa County (623) 582-6420
MADELINE RITTER PA-C
Physician Assistant (Medical)
2902 W AGUA FRIA FWY STE 1000
PHOENIX, AZ 85027
Maricopa County (623) 582-6420
CHRISTY L HOGUE NP
Nurse Practitioner
2902 W AGUA FRIA FWY STE 1000
PHOENIX, AZ 85027
Maricopa County (623) 582-6420
BETTY BANH PA-C
Physician Assistant
2902 W AGUA FRIA FWY STE 1000
PHOENIX, AZ 85027
Maricopa County (623) 582-6420
DR. SANTIAGO M CORNEJO MD
Radiology (Vascular & Interventional Radiology)
2902 W AGUA FRIA FWY STE 1000
PHOENIX, AZ 85027
Maricopa County (480) 485-7371
STEVEN LUKE MD
Urology
2902 W AGUA FRIA FWY STE 1000
PHOENIX, AZ 85027
Maricopa County (623) 582-6420
ALEXIS DIANNE PEDERSEN PA C
Physician Assistant (Medical)
2902 W AGUA FRIA FWY STE 1000
PHOENIX, AZ 85027
Maricopa County (623) 582-6420
DR. KEN-RYU HAN MD
Urology
2902 W AGUA FRIA FWY STE 1000
PHOENIX, AZ 85027
Maricopa County (623) 582-6420

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 Leesha Richardson's NPI number?

The NPI number for Leesha Richardson is 1336073766. It was assigned to this individual provider in the NPPES registry on June 10, 2026.

Where is Leesha Richardson located?

Leesha Richardson practices at 2902 W Agua Fria Fwy Ste 1000, Phoenix, AZ 85027. The listed phone number is (602) 609-2691.

What is Leesha Richardson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Leesha Richardson was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.