Active NPI
Mary Ann Richards, P.A.-C
- Physician Assistant
- Centennial, CO
National Provider Identifier
1346289675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 334
- Practice address
- 7030 S Yosemite St
Suite 210
Centennial, CO 80112-2026 - Phone
- (303) 721-9984
- Fax
- (303) 996-3278
- NPI assigned
- Jun 5, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 334 | CO | Primary |
Addresses
Primary practice location
7030 S Yosemite St
Suite 210
Centennial, CO 80112-2026
Mailing address
9538 Chesapeake St
Highlands Ranch, CO 80126-4021
Phone (303) 791-0450
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 334 | CO | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197504000000",
"number": "1346289675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9538 CHESAPEAKE ST",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801264021",
"telephone_number": "303-791-0450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7030 S YOSEMITE ST",
"address_2": "SUITE 210",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801122026",
"telephone_number": "303-721-9984",
"fax_number": "303-996-3278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "MARY",
"middle_name": "ANN",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-05",
"last_updated": "2007-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.