Active NPI
Cristin Rose Richards, AU.D.
- Audiologist
- Brunswick, ME
National Provider Identifier
1265440911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- SP1273
- Practice address
- 331 Maine St
Suite 4
Brunswick, ME 04011-3358 - Phone
- (207) 729-4086
- Fax
- (207) 729-4853
- NPI assigned
- Aug 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | SP1273 | ME | Primary |
Addresses
Primary practice location
331 Maine St
Suite 4
Brunswick, ME 04011-3358
Mailing address
331 Maine St
Suite 4
Brunswick, ME 04011-3358
Phone (207) 729-4086
Other names 1
- Cristin Rose Richards
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP1273 | ME | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1265440911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 MAINE ST",
"address_2": "SUITE 4",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040113358",
"telephone_number": "207-729-4086",
"fax_number": "207-449-1193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 MAINE ST",
"address_2": "SUITE 4",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040113358",
"telephone_number": "207-729-4086",
"fax_number": "207-729-4853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "CRISTIN",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "ME",
"license": "SP1273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRISTIN",
"last_name": "RICHARDS",
"middle_name": "ROSE",
"credential": "AU.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.