Mary Rush, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

003097 Issued in CT

Practice address

130 Pheasant LN
Fairfield, CT 06824-3141

Phone

(203) 255-6619

Fax

(203) 256-8294

NPI assigned

Jun 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science

State licenses

Practice roles

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.

• Cycare LLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Bloomfield, CT
  • NPI 1336150002
  NPD (past)
• Cycare LLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Bloomfield, CT
  • NPI 1871866178
  NPD (past)
• Medoptions Behavioral Health Assoc, LLC

  • Nurse Practitioner
  • Old Saybrook, CT
  • NPI 1588604060
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1407892839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 PHEASANT LN",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068243141",
            "telephone_number": "203-255-6619",
            "fax_number": "203-256-8294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PHEASANT LN",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068243141",
            "telephone_number": "203-255-6619",
            "fax_number": "203-256-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH",
        "first_name": "MARY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "003097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucia Joy Rubin-Cadrain, SLP
• Carrie J Rubin, PH.D, LCSW
• Rubys Happiness LLC
• Andrea Schreibman Rudolph, LCSW, MSW, MPH
• Keith L. Rudolph, D.D.S.
• Adam Russak, MD
• Sally W Russell, RDH
• Jane A. Russo, D.M.D.
• Luann Russo, CNM
• Robert D. Russo, M.D.

• Nurse Practitioner in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.