Individual provider Active NPI

Meagan Rich

  • Physician Assistant
  • Providence, RI
National Provider Identifier
1124446695
Registry record updated Feb 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA4998 Issued in MA
Practice address
150 Chestnut St
Providence, RI 02903-4645
Phone
(833) 229-0957
NPI assigned
Apr 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 136112 IA
Physician Assistant 363A00000X 8763 WI
Physician Assistant 363A00000X 6577 CT
Physician Assistant 363A00000X 1115 NH
Physician Assistant 363A00000X PA4998 MA Primary
Physician Assistant 363A00000X 14259841-1206 UT
Physician Assistant 363A00000X PA0009563 CO
Physician Assistant 363A00000X PA00754 RI
Physician Assistant 363A00000X PA9113875 FL

Addresses

Primary practice location

150 Chestnut St
Providence, RI 02903-4645

Mailing address

33 Avon St
Wakefield, MA 01880-2310
Phone (781) 245-0402

Other practice location 1

33 Avon St
Wakefield, MA 01880-2310
Phone (781) 245-0402

Other practice location 2

92 Montvale Ave
Stoneham, MA 02180-3647
Phone (781) 438-5543

Other practice location 3

1400 Computer Dr Ste 301
Westborough, MA 01581-1790
Phone (617) 420-5316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1115NHMDAddiction (Substance Use Disorder) Counselor
PA0009563COMDPhysician Assistant
6577CTMDPhysician Assistant
PA9113875FLMDPhysician Assistant
136112IAMDPhysician Assistant
14259841-1206UTMDPhysician Assistant
8763WIMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: mrich@landmarkhealth-direct.org

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772236800000",
    "number": "1124446695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 AVON ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018802310",
            "telephone_number": "781-245-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CHESTNUT ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034645",
            "telephone_number": "833-229-0957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Avon St",
            "address_purpose": "LOCATION",
            "city": "Wakefield",
            "state": "MA",
            "postal_code": "018802310",
            "country_code": "US",
            "telephone_number": "781-245-0402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "92 Montvale Ave",
            "address_purpose": "LOCATION",
            "city": "Stoneham",
            "state": "MA",
            "postal_code": "021803647",
            "country_code": "US",
            "telephone_number": "781-438-5543",
            "fax_number": "781-438-2001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Computer Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Westborough",
            "state": "MA",
            "postal_code": "015811790",
            "country_code": "US",
            "telephone_number": "617-420-5316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICH",
        "first_name": "MEAGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2026-02-28",
        "certification_date": "2026-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "136112",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "8763",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "6577",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "1115",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA4998",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "14259841-1206",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA0009563",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA00754",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113875",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.