Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MR. WYATT RICHARDSON LPN
NPI 1760381859
Licensed Practical Nurse in Philadelphia, PA

Active since November 04, 2026
907 N BROAD ST, PHILADELPHIA, PA 19123(215) 235-5520 Get Directions Write a Review

NPPES record added: November 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Wyatt Richardson Lpn NPPES

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

MR. WYATT RICHARDSON LPN (NPI 1760381859) is an individual licensed practical nurse in Philadelphia, Pennsylvania, licensed in Ohio (LPN.145420.MEDS-IV) and active in the NPI registry since November 2026.

NPPES Registry Identity

NPI1760381859
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameMR. WYATT RICHARDSONCredential: LPN
Location Address907 N BROAD STPhiladelphia, PA 19123-1013
Mailing Address112 N Broad StPhiladelphia, PA 19102-1512 · (215) 586-0860
Sole ProprietorNo
Enumeration DateNovember 4, 2026
NPPES CertifiedNovember 4, 2026
✔ NPI 1760381859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OH · LPN.145420.MEDS-IV
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
907 N BROAD ST, Philadelphia, PA 19123

Other Providers at the Same Location NPPES 3

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

Community/Behavioral Health
907 N BROAD ST
PHILADELPHIA, PA 19123
Community/Behavioral Health
907 N BROAD ST
PHILADELPHIA, PA 19123
Licensed Practical Nurse
907 N BROAD ST
PHILADELPHIA, PA 19123

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 Wyatt Richardson's NPI number?

The NPI number for Wyatt Richardson is 1760381859. It was assigned to this individual provider in the NPPES registry on November 4, 2026.

Where is Wyatt Richardson located?

Wyatt Richardson practices at 907 N Broad St, Philadelphia, PA 19123. The listed phone number is (215) 235-5520.

What is Wyatt Richardson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Wyatt Richardson was last updated on November 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.