NPI

Samantha Dion Richardson

NPI 1063039378

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
NP
Type
Individual
Enumeration date
2020-07-02
Last updated
2022-12-30

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Specialties

Licenses

License IL
209.022272
License MO
2021029431
License VA
0024178357

Location

Practice location
12301 Grapefield Rd
City
Bastian VA
Postal code
24314-4547
Phone
(276) 688-4331

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Bastian, VA. 37 records in the public file.

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