Individual ProviderAlexis Marie RichardsonDietitian, RegisteredDietary & Nutritional Service ProvidersPractice Address111 Michigan Ave NW, Washington, DC 20010-2916(404) 734-0402PECOS EnrollmentBased on the most recent information from CMS, provider Alexis Marie Richardson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1316401698Provider TypeIndividualFull NameRichardson, Alexis MarieGenderFemaleSole ProprietorNoEnumeration Date1/30/2019Last Updated1/30/2019Contact InformationPractice LocationPractice Address111 Michigan Ave NW, Washington, DC 20010-2916Phone(404) 734-0402FaxUnlisted FaxMailing LocationMailing Address5840 Cameron Run Ter Apt 501, Alexandria, VA 22303-1848PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode133V00000XPrimaryDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicenseUnlisted Issuer