Individual provider Active NPI

Marybeth Rivard, APRN

  • Adult Health Nurse Practitioner
  • Shelton, CT
National Provider Identifier
1174507487
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
002730 Issued in CT
Practice address
NP Care LLC
Six Corporate Dr Suite 420
Shelton, CT 06484-6270
Phone
(203) 925-9600
Fax
(203) 926-0594
NPI assigned
Nov 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 002730 CT Primary

Addresses

Primary practice location

NP Care LLC
Six Corporate Dr Suite 420
Shelton, CT 06484-6270

Mailing address

84 Westmore Rd
Cheshire, CT 06410-2014
Phone (203) 272-1734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
302909NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
NP Care, LLC Past Accepting new patients
Neighborhood Health, Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
NP Care, LLC Past Accepting new patients
Cosmopolitan Dermatology, Inc. PastSince Jun 1, 2017 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mrivard656515@direct.ochin.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174507487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 WESTMORE RD",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102014",
            "telephone_number": "203-272-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NP CARE LLC",
            "address_2": "SIX CORPORATE DR SUITE 420",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846270",
            "telephone_number": "203-925-9600",
            "fax_number": "203-926-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVARD",
        "first_name": "MARYBETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "002730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.