Provider Demographics
NPI:1467349431
Name:RICHMOND, ALEXIS (BD)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:RICHMOND
Suffix:
Gender:F
Credentials:BD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:724 S ASPEN ST
Mailing Address - Street 2:
Mailing Address - City:AIRWAY HEIGHTS
Mailing Address - State:WA
Mailing Address - Zip Code:99001-5030
Mailing Address - Country:US
Mailing Address - Phone:509-863-6203
Mailing Address - Fax:
Practice Address - Street 1:724 S ASPEN ST
Practice Address - Street 2:
Practice Address - City:AIRWAY HEIGHTS
Practice Address - State:WA
Practice Address - Zip Code:99001-5030
Practice Address - Country:US
Practice Address - Phone:509-863-6203
Practice Address - Fax:509-863-6203
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-21
Last Update Date:2025-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WABD61557638374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula