MEDICARE: MADELINE RICHARDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	LD.10254	OH

General Provider Information

NPI Number	:	1689513012
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADELINE RICHARDS

Provider Business Mailing Address
First Line	:	6735 CAMBRIDGE AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45227-3100
Country	:	US
Telephone Number	:	513-716-4591
Fax Number	:

Provider Business Practice Location Address
First Line	:	6735 CAMBRIDGE AVE APT 1
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45227-3100
Country	:	US
Telephone Number	:	513-716-4591
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2026
Last Update Date	:	03/28/2026

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