Individual provider Active NPI

Mary A. Richards, RN, BS, CCM

  • Case Manager/Care Coordinator
  • Waynesburg, PA
National Provider Identifier
1285051201
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
RN184303L Issued in PA
Practice address
220 Greene PLZ
Waynesburg, PA 15370-8144
Phone
(724) 627-1951
Fax
(724) 627-1670
NPI assigned
Mar 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X RN184303L PA Primary

Addresses

Primary practice location

220 Greene PLZ
Waynesburg, PA 15370-8144

Mailing address

24 Nannie St
Washington, PA 15301-9735
Phone (724) 627-1951

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)
Not enrolled
Credentials
Bachelor of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN184303LPAMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1285051201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 NANNIE ST",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153019735",
            "telephone_number": "724-627-1951",
            "fax_number": "724-627-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 GREENE PLZ",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153708144",
            "telephone_number": "724-627-1951",
            "fax_number": "724-627-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "MARY",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "RN, BS, CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "PA",
            "license": "RN184303L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.