Active NPI
Richard Barrie Dalrymple, NURSE PRACTITIONER
- Family Nurse Practitioner
- Waterford, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704304061NSA190C6
- Practice address
- 3249 Golfhill Dr
Waterford, MI 48329-4520 - Phone
- (810) 479-1677
- NPI assigned
- Jun 26, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704304061NSA190C6 | MI | Primary |
Addresses
Primary practice location
3249 Golfhill Dr
Waterford, MI 48329-4520
Mailing address
3249 Golfhill Dr
Waterford, MI 48329-4520
Phone (810) 479-1677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3803 Elizabeth Lake Rd
Gammons Medical
Waterford, MI 48328-3017
Phone (734) 522-1444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704304061NSA190C6 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Current | Accepting new patients |
Locations
29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430
27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552
1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300
1223 S Washington Ave
Royal Oak, MI 48067
Phone (248) 395-0080
28477 Hoover Rd
Warren, MI 48093
Phone (586) 250-4040
3803 Elizabeth Lake Rd
Waterford, MI 48328
Phone (248) 221-7733
35640 W Michigan Ave
Wayne, MI 48184
Phone (517) 630-2446
309 Ecorse Rd
Ypsilanti, MI 48198
Phone (734) 484-0580
Interoperability endpoints
- richarddalrymple@gammons.directglo.com
- rdalrymple1124388@direct.hfhs.org
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.
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1295023547
-
- Durable Medical Equipment & Medical Supplies
- Lapeer, MI
- NPI 1992693303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1972164366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3249 GOLFHILL DR",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483294520",
"telephone_number": "810-479-1677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3249 GOLFHILL DR",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483294520",
"telephone_number": "810-479-1677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALRYMPLE",
"first_name": "RICHARD",
"middle_name": "BARRIE",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-26",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704304061NSA190C6",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.