Active NPI
Maureen M Richards, MS, ARNP, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Rockledge, FL
National Provider Identifier
1679743652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- ARNP 1325442
- Practice address
- 5302 Picardy Court
Rockledge, FL 32955 - Phone
- (850) 240-4663
- Fax
- (903) 455-4301
- NPI assigned
- Mar 6, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP 1325442 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ARNP 1325442 | FL | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP125867 | TX |
Addresses
Primary practice location
5302 Picardy Court
Rockledge, FL 32955
Mailing address
5302 Picardy Court
Rockledge, FL 32955
Phone (850) 240-4663
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9029191 | Other | FL | AETNA |
| 000465400 | Medicaid | FL | |
| Y122P | Other | FL | BCBS |
| 2611445 | Other | FL | CIGNA |
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)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 1325442 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP125867 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maureen M. Richards, Arnp, P.a. | Psychiatric/Mental Health | Past | Accepting new patients |
| Boone County Hospital | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Fort Walton Beach, FL
- NPI 1811158447
-
- Critical Access Hospital
- Boone, IA
- NPI 1467434225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485820800000",
"number": "1679743652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5302 PICARDY COURT",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "32955",
"telephone_number": "850-240-4663",
"fax_number": "903-455-4301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5302 PICARDY COURT",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "32955",
"telephone_number": "850-240-4663",
"fax_number": "903-455-4301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "MAUREEN",
"middle_name": "M",
"credential": "MS, ARNP, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-06",
"last_updated": "2017-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP 1325442",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "ARNP 1325442",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP125867",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9029191",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000465400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y122P",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2611445",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.