Rebecca L Richard, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

002676 Issued in CT

Practice address

36 Lafayette St
Norwich, CT 06360-3408

Phone

(860) 885-0666

Fax

(860) 885-1158

NPI assigned

Dec 23, 2011

Last updated

Jan 5, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rebecca L Castle Former name

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24256/brand/1/csg/1/fhir/r4
• Direct secure messaging: rrichard338936@direct.ochin.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• United Community and Family Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Norwich, CT
  • NPI 1467482539
  Medicare reassignment
• United Community and Family Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Norwich, CT
  • NPI 1558366757
  NPD
• Lafayette Pediatrics LLC

  • Pediatric Nurse Practitioner
  • Norwich, CT
  • NPI 1598351421
  NPD (past)
• Laurentiu P Galan, MD, LLC

  • Pediatrics Physician
  • Norwich, CT
  • NPI 1780954750
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1053680819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 LAFAYETTE ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063603408",
            "telephone_number": "860-885-0666",
            "fax_number": "860-885-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 LAFAYETTE ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063603408",
            "telephone_number": "860-885-0666",
            "fax_number": "860-885-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "REBECCA",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-23",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "002676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT LICENSE",
            "identifier": "002676",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "CASTLE",
            "middle_name": "L",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edward Reynolds Jr., DDS
• Theresa Reynolds
• Sky Rhymer
• Carla S Ricci
• Richard J Lavoie
• Aaliayah C Richards, LPN
• David S Richardson, DDS
• Terisa Richardson
• Andrea L Rickard, APRN, BC
• Riley Kristina Riewerts

• Physician Assistant in Norwich, CT
• Providers in Norwich, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.