Andrill Lavour Richard, FNP
Nurse Practitioner in Greenwood, SC. Individual provider (NPI-1).
NPI number1982241956
StatusActive
Last updated in NPPESApr 8, 2024
Details
- NPI
- 1982241956
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Andrill Lavour Richard
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 9, 2019
- Certification date
- Apr 8, 2024
- Last updated
- Apr 8, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 23399 | SC | Yes |
| 363LF0000X | Nurse Practitioner, Family | 23399 | SC |
Practice location
115 Academy AvenueGreenwood, SC 29646
Mailing address
1198 Leaman StCross Hill, SC 29332-4100
Phone 864-993-6320
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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