Ridgely Retreat LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

476282 Issued in MD

Legal business name

RIDGELY RETREAT LLC

Practice address

203 Ridgely Ave
Annapolis, MD 21401-1303

Phone

(443) 433-0462

Fax

(443) 433-0491

NPI assigned

May 12, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Andrea Lee Lichtenstein, RN

Title

Owner

Phone

(443) 433-0462

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1912174756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 RIDGELY AVE",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011303",
            "telephone_number": "443-433-0462",
            "fax_number": "443-433-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 RIDGELY AVE",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011303",
            "telephone_number": "443-433-0462",
            "fax_number": "443-433-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGELY RETREAT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "LICHTENSTEIN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-433-0462",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "476282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel L Richardson, OT
• Dane Richey
• Carime Richter
• Amy Ricker, CRNP
• Alexandra Riddle
• Michael Scott Riebman, M.D.
• Wendy J Riekers, PA-C
• Madison Whitney Rielly
• Karla Rienecke-Sargent
• Howard Jeffrey Riesel, LCSW, LCSW-C

• Specialist in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.