SHACONYA L RICHARDSON
NPI 1427417153
Nurse Practitioner - Psychiatric/Mental Health in Louisville, KY

Q: What is Shaconya Richardson's NPI number?

The NPI number for Shaconya Richardson is 1427417153. It was assigned to this individual provider in the NPPES registry on February 23, 2016.

Q: What is Shaconya Richardson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since February 23, 2016PECOS Enrolled

714 LYNDON LN STE 6, LOUISVILLE, KY 40222(502) 243-5565 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 19, 2025, Feb 24, 2022, Jan 26, 2022 and 4 more (7 updates tracked since 2016).

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About Shaconya L Richardson NPPES

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

SHACONYA L RICHARDSON (NPI 1427417153) is an individual psychiatric/mental health provider in Louisville, Kentucky, licensed in Kentucky (3010019) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1427417153

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSHACONYA L RICHARDSON

Location Address714 LYNDON LN STE 6Louisville, KY 40222-4643

Mailing Address6007 Count Turf DrLouisville, KY 40272-3549 · (502) 243-5565 · Fax (502) 772-8983

Phone(502) 243-5565

Sole ProprietorYes

Enumeration DateFebruary 23, 2016

Last NPPES UpdateMarch 19, 20257 updates tracked since enumeration

NPPES CertifiedMarch 19, 2025

✔ NPI 1427417153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in KY · 3010019✔ Licensed in IN · 28196212A

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3010019 (KY)

714 LYNDON LN STE 6, Louisville, KY 40222

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Secondary Practice Location 1

Location 1645 S Roy Wilkins AveLouisville, KY 40203-2072 · Phone (502) 583-6990

Other Identifiers 1

Medicaid7100443600KY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shaconya L 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40222 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

SHERRY MARIE MILLER ROWE LCSW

Social Worker (Clinical)