Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Keri Lynn Richardson, PA-C

Individual provider Physician Assistant · NPI 1447244355

Mrs. Keri Lynn Richardson, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2002, 24 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
24
Licensed in
AZ
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

10930 N Tatum Blvd Ste 103
Phoenix, AZ 85028-6069
Phone: (602) 263-7600
Fax: (602) 212-0365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2908 (AZ)

Record details

NPI number1447244355
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 7, 2005
Last updated in NPPESSeptember 28, 2007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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