Healthcare Provider Details

I. General information

NPI: 1508742537
Provider Name (Legal Business Name): CAGNEY RICHARDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CAGNEY GAUDIZ

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8833 MONTEREY RD STE J641
GILROY CA
95020-7200
US

IV. Provider business mailing address

8833 MONTEREY RD STE J641
GILROY CA
95020-7200
US

V. Phone/Fax

Practice location:
  • Phone: 202-810-3860
  • Fax:
Mailing address:
  • Phone: 202-810-3860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number248214201
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: