NPIMap

Individual provider Active NPI

Aubrey Richardson, MD

  • Neurology Physician
  • Sparks, MD
National Provider Identifier
1093797839
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D0062137 Issued in MD
Practice address
164 English Run Cir
Sparks, MD 21152
Phone
(615) 345-5400
NPI assigned
Nov 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X D0062137 MD Primary

Addresses

Primary practice location

164 English Run Cir
Sparks, MD 21152

Mailing address

3 Maryland Farms Ste 200
Brentwood, TN 37027-5005
Phone (615) 345-5400

Other identifiers 24

IdentifierTypeStateIssuer
1459216MedicaidLA
200806530MedicaidIN
644921-01OtherMDCAREFIRST BLUE CROSS BLUE SHIELD
001434159MedicaidCT
00612800MedicaidMD
235975740AMedicaidGA
510-03185OtherALBLUE CROSS BLUE SHIELD ALABAMA
2003709990AMedicaidKS
207588500MedicaidMO
841328305MedicaidMI
02730367MedicaidNY
20806530MedicaidIN
5902869MedicaidNC
8472870MedicaidWA
100511920MedicaidNV
274205MedicaidSC
3154394OtherPACIGNA
77339860MedicaidCO
MD5457MedicaidAK
010237092MedicaidVA
038877MedicaidAZ
1018044950001MedicaidPA
4490744MedicaidTN
9372608OtherMDPRIVATE HEALTHCARE SYSTEMS

Other names 1

  • Teresa Mary Wright Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041029000121 MD Practitioner - Neurology 7012901507
I20191126002828 WA Practitioner - Neurology 7012901507 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Vanderbilt University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Remote Neuromonitoring Physicians PCGroup PAC ID 1355495961, 36 clinicians
Sentient Physicians, P.C.Group PAC ID 2668764333, 37 clinicians

Practice addresses (Care Compare)

4970 Castleton Rd SW
Port Orchard, WA 98367-5504
Phone (800) 348-4565

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0062137MDMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Iom Services Inc Neurology Past Accepting new patients

Organizations & group practices 3

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

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1093797839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MARYLAND FARMS STE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275005",
            "telephone_number": "615-345-5400",
            "fax_number": "888-468-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 ENGLISH RUN CIR",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "21152",
            "telephone_number": "615-345-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "AUBREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0062137",
            "primary": true
        }
    ],
    "identifiers": [
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        },
        {
            "code": "01",
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            "state": "GA"
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        {
            "code": "01",
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            "issuer": "BLUE CROSS BLUE SHIELD ALABAMA",
            "identifier": "510-03185",
            "state": "AL"
        },
        {
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            "identifier": "2003709990A",
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            "identifier": "5902869",
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            "identifier": "274205",
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        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3154394",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77339860",
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            "identifier": "MD5457",
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            "identifier": "010237092",
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            "code": "05",
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            "identifier": "038877",
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            "code": "05",
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            "identifier": "1018044950001",
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            "identifier": "4490744",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTHCARE SYSTEMS",
            "identifier": "9372608",
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        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "WRIGHT",
            "middle_name": "MARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sparks, MD

Sources for this page

Verify at the official NPI Registry.