Individual provider Active NPI

Marla Renee Richardson-Price, M.D.

  • Family Medicine Physician
  • Lake Mary, FL
National Provider Identifier
1457426116
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
81807 Issued in FL
Practice address
120 International Pkwy Ste 220
Lake Mary, FL 32746-5049
Phone
(800) 941-0644
NPI assigned
Nov 21, 2006
Last updated
Apr 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 81807 FL Primary

Addresses

Primary practice location

120 International Pkwy Ste 220
Lake Mary, FL 32746-5049

Mailing address

120 International Pkwy Ste 220
Lake Mary, FL 32746-5049
Phone (800) 941-0644

Other practice location 1

985 S R 436
Casselberry, FL 32707-5664
Phone (407) 831-5252

Other identifiers 2

IdentifierTypeStateIssuer
P00960460OtherFLRAILROAD MEDICARE
261535500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050818000816 FL Practitioner - Family Practice 1153351101 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
81807FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rmed LLC Family Medicine CurrentSince Apr 1, 2018 Accepting new patients
Rmed LLC Family Medicine CurrentSince Apr 1, 2018 Accepting new patients
Family Practice Center of Sanford PA Family Medicine Past Accepting new patients

Locations

4348 Southpoint Blvd
Ste 100
Jacksonville, FL 32216
Phone (904) 281-1087

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

941 W Morse Blvd
Ste 100
Winter Park, FL 32789
Phone (321) 207-9029

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1457426116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 INTERNATIONAL PKWY STE 220",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465049",
            "telephone_number": "800-941-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 INTERNATIONAL PKWY STE 220",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465049",
            "telephone_number": "800-941-0644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "985 S R 436",
            "address_purpose": "LOCATION",
            "city": "Casselberry",
            "state": "FL",
            "postal_code": "327075664",
            "country_code": "US",
            "telephone_number": "407-831-5252",
            "fax_number": "407-831-3390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON-PRICE",
        "first_name": "MARLA",
        "middle_name": "RENEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "81807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00960460",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261535500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.