Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Carissa M Richardson, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1972827582

Dr. Carissa M Richardson, MD is an Obstetrics/Gynecology in Coeur D Alene, Idaho. Graduated from University of Nevada School of Medicine in 2010, 16 years ago. Licensed in Idaho.

Years since qualifying
16
Trained at
University of Nevada School of Medicine
Licensed in
ID
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

980 W Ironwood Dr #101
Coeur D Alene, ID 83814
Phone: (208) 765-1455
Fax: (208) 667-2556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence M-13322 (ID)

Record details

NPI number1972827582
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2010
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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