Active NPI
Elizabeth Martin Richards, MD
- Pediatrics Physician
- Brattleboro, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 042-0011357
- Practice address
- 21 Belmont Ave
Brattleboro, VT 05301-7110 - Phone
- (802) 258-3905
- Fax
- (802) 258-4903
- NPI assigned
- Oct 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 042-0011357 | VT | Primary |
Addresses
Primary practice location
21 Belmont Ave
Brattleboro, VT 05301-7110
Mailing address
600 Blair Park Rd Ste 285
Williston, VT 05495-7586
Phone (802) 288-1140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013239 | Medicaid | VT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drrichards@pchpmd.medentdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Tulane University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21 Belmont Ave
Brattleboro, VT 05301-7110
Phone (802) 258-3905
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0011357 | VT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Health Partners - New York LLP | Pediatrics | Current | Accepting new patients |
| Primary Care Health Partners - Vermont LLP | Pediatrics | Current | Accepting new patients |
| Brattleboro Memorial Hospital | Pediatrics | Past | Accepting new patients |
| Primary Care Health Partners | Pediatrics | Past | Accepting new patients |
Locations
51 Timber Ln
South Burlington, VT 05403
Phone (802) 864-0521
600 Blair Park Rd
Ste 285
Williston, VT 05495
Phone (802) 288-1140
66 Knight Ln
Ste 10
Williston, VT 05495
Phone (802) 872-4327
Interoperability endpoints
- drrichards@pchpmd.medentdirect.com
- https://fhir-myrecord.cerner.com/r4/d9dc001d-1bc5-42f9-bd4d-eb79208fd32a/
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Williston, VT
- NPI 1285687616
Pediatrics
-
- Family Medicine Physician
- Plattsburgh, NY
- NPI 1003861782
Pediatrics
-
- Pediatrics Physician
- Brattleboro, VT
- NPI 1740246925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1912092149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 BLAIR PARK RD STE 285",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054957586",
"telephone_number": "802-288-1140",
"fax_number": "802-288-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 BELMONT AVE",
"city": "BRATTLEBORO",
"state": "VT",
"postal_code": "053017110",
"telephone_number": "802-258-3905",
"fax_number": "802-258-4903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "ELIZABETH",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2023-06-30",
"certification_date": "2023-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VT",
"license": "042-0011357",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013239",
"state": "VT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drrichards@pchpmd.medentdirect.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "21 Belmont Ave",
"city": "Brattleboro",
"state": "VT",
"country_code": "US",
"postal_code": "053017110",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brattleboro, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.