Healthcare Provider Details

I. General information

NPI: 1154469922
Provider Name (Legal Business Name): DONNA E. RICHARDSON-BLOUNT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELAINE D BLOUNT MD

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 02/13/2020
Certification Date: 02/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1410 17TH AVENUE SOUTH
NASHVILLE TN
37212
US

IV. Provider business mailing address

1434 MORAN ROAD
FRANKLIN TN
37069
US

V. Phone/Fax

Practice location:
  • Phone: 615-297-5885
  • Fax: 615-538-8738
Mailing address:
  • Phone: 615-812-2576
  • Fax: 615-538-8738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0015X
TaxonomyPsychosomatic Medicine Physician
License NumberMD20859
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number020859
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number020859
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: