Individual provider Active NPI

Maria Barbosa Richardson, CPNP, FNP-BC

  • Primary Care Nurse Practitioner
  • Aspen Hill, MD
National Provider Identifier
1639596109
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
R210081 Issued in MD
Practice address
13975 Connecticut Ave
Aspen Hill, MD 20906-2921
Phone
(301) 557-1936
Fax
(301) 557-1949
NPI assigned
Mar 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X R210081 MD Primary
Pediatric Nurse Practitioner 363LP0200X R210081 MD

Addresses

Primary practice location

13975 Connecticut Ave
Aspen Hill, MD 20906-2921

Mailing address

702 Rexford Way
Upper Marlboro, MD 20774-8440
Phone (617) 956-2584

Other names 1

  • Maria Barbosa Deandrade Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200513000453 DC Practitioner - Nurse Practitioner 9537590203 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R210081MDMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Services of Holy Cross CurrentSince Mar 1, 2020 Accepting new patients
Professional Services of Holy Cross CurrentSince Mar 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

201 Russell Ave
Gaithersburg, MD 20877
Phone (301) 216-4157

13975 Connecticut Ave
Silver Spring, MD 20906
Phone (301) 460-8282

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

7987 Georgia Ave
Silver Spring, MD 20910
Phone (301) 557-1870

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1639596109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 REXFORD WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748440",
            "telephone_number": "617-956-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13975 CONNECTICUT AVE",
            "city": "ASPEN HILL",
            "state": "MD",
            "postal_code": "209062921",
            "telephone_number": "301-557-1936",
            "fax_number": "301-557-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "MARIA",
        "middle_name": "BARBOSA",
        "credential": "CPNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-23",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R210081",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R210081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "DEANDRADE",
            "middle_name": "BARBOSA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aspen Hill, MD

Sources for this page

Verify at the official NPI Registry.