Active NPI
Meagan Rich
- Physician Assistant
- Providence, RI
National Provider Identifier
1124446695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA4998
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1115 | NH | MD | Addiction (Substance Use Disorder) Counselor |
| PA0009563 | CO | MD | Physician Assistant |
| 6577 | CT | MD | Physician Assistant |
| PA9113875 | FL | MD | Physician Assistant |
| 136112 | IA | MD | Physician Assistant |
| 14259841-1206 | UT | MD | Physician Assistant |
| 8763 | WI | MD | Physician Assistant |
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2026; 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.