Lisa Dale Rarick, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

D0060729 Issued in MD

Practice address

8195 Windward Key Dr
Chesapeake Beach, MD 20732-3123

Phone

(301) 219-9505

NPI assigned

Jul 24, 2020

Last updated

Jul 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1770192825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8195 WINDWARD KEY DR",
            "city": "CHESAPEAKE BEACH",
            "state": "MD",
            "postal_code": "207323123",
            "telephone_number": "301-219-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8195 WINDWARD KEY DR",
            "city": "CHESAPEAKE BEACH",
            "state": "MD",
            "postal_code": "207323123",
            "telephone_number": "301-219-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RARICK",
        "first_name": "LISA",
        "middle_name": "DALE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0060729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rarick215@verizon.net",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "8195 Windward Key Dr",
            "city": "Chesapeake Beach",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207323123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Chesapeake Beach, MD
• Providers in Chesapeake Beach, MD by specialty
• Obstetrics & Gynecology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.