MS. MARYANN CATHERINE RICHARDSON (NPI# 1235425323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235425323 |
| Entity Type | Individual |
| Full Name | MS. MARYANN CATHERINE RICHARDSON |
| Credential | PMHNP |
| Practice Address |
5617 Maxwell Pl Wilmington NC 28409-2966 |
| Mailing Address |
Po Box 16310 Wilmington NC 28408-6310 |
| Practice Telephone | 9107429243 |
| Practice Fax Number | 8887461787 |
| Mailing Telephone | 9107429243 |
| Mailing Fax Number | 8887461787 |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2014-04-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
5006630 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
356139 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MAGNA CARE | 90853 | 01 |
| Street Address |
5617 MAXWELL PL |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28409-2966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730171109 | Ronny Eric Wright Jr. | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2005-08-22 |
| 1578979985 | Stephen Francis Mceachen | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2014-07-07 |
| 1114332343 | Susan R Leonard | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2014-06-26 |
| 1154629186 | Heather D Finney | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2011-02-28 |
| 1245549021 | Lois H Reed | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2010-09-28 |
| 1427366160 | Stephania Blakley Jordan | Nurse Practitioner | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2010-09-15 |
| 1841504388 | Regina Lynette Mcconley | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2010-07-26 |
| 1609109586 | David Glenn Yarborough IIi | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2009-09-10 |
| 1730335449 | Stevan Michael Clifton | Physician Assistant | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2008-08-13 |
| 1013083146 | Lionel Gregory Fernando | Psychiatry & Neurology | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2006-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952916728 | Emily Savannah Holland | Specialist/Technologist | 1150 King's Hwy, Wilmington, NC 28409 | 2020-09-09 |
| 1912373465 | Thomas Malenfant | Hearing Instrument Specialist | 474 New Centre Drive, #6, Wilmington, NC 28409 | 2015-08-19 |
| 1720482862 | Leslie Morton Garris | Pharmacist | 6013 Chancellorville Drive, Wilmington, NC 28409 | 2014-10-17 |
| 1659621720 | Charles Warren Moorehead | Social Worker | 5710 Oleander Dr. Suite 208, Wilmington, NC 28409 | 2012-09-14 |
| 1992972020 | Nancy Beth Kotz | Social Worker | 6211 Terrapin Ct, Wilmington, NC 28409 | 2008-05-08 |
| 1366611089 | Michael Royce Penland | Psychologist | 5002-1 Hewletts Run, Wilmington, NC 28409 | 2008-02-27 |
| 1184755092 | Keith W Mann | Dentist | 818-101 Pine Grove Drive, Wilmington, NC 28409 | 2007-03-09 |
| 1477650554 | Jeffrey Beecham Chick | Specialist | 1201 Porches Dr, Suite 2, Wilmington, NC 28409 | 2006-09-20 |
| 1407964067 | Richard A. Lally | Counselor | 5425 Golden Eagle Court, Wilmington, NC 28409 | 2006-08-25 |
| 1598290520 | Monaca Lachman | Counselor | 6020 Leeward Ln, Wilmington, NC 28409-0129 | 2017-04-27 |
| Find all providers in zip 28409 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770193807 | Eric Funwi Neba | Nurse Practitioner | 5201 W Woodmill Dr # 31, Wilmington, DE 19808-4068 | 2020-08-04 |
| 1508413816 | Christina Ashley Reed | Nurse Practitioner | 24a Trolley Sq # 1164, Wilmington, DE 19806-3334 | 2019-08-21 |
| 1013483627 | Michelle Lauer | Nurse Practitioner | 3521 Silverside Rd Ste 2f1, Wilmington, DE 19810-4900 | 2018-10-22 |
| 1295201994 | Paul Sheslow | Nurse Practitioner | 240 N James St Ste 100d, Wilmington, DE 19804-3167 | 2018-10-19 |
| 1316457641 | Edwin Joseph Sokalski | Nurse Practitioner | 5598 Kirkwood Hwy, Wilmington, DE 19808-5002 | 2017-09-30 |
| 1164838348 | Wilbur Cuddy | Nurse Practitioner | 1181 Haselton Rd, Wilmington, NY 12997-2519 | 2014-07-08 |
| 1073550836 | Sonja Lucille Greiner | Nurse Practitioner | 1911 South 17th Street, Suite 100, Wilmington, NC 28401-6663 | 2006-06-01 |
| 1730728098 | Gayla Denise Cragg | Nurse Practitioner | 604 Milltown Rd, Wilmington, DE 19808-2227 | 2020-01-03 |
| 1295372324 | Jason Darden | Nurse Practitioner | 3205 Randall Pkwy Ste 105, Wilmington, NC 28403-2565 | 2019-12-09 |
| 1154803492 | Fawn Helene Palmer | Nurse Practitioner | 501 W 14th St, Wilmington, DE 19801-1013 | 2018-09-04 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28409 |
Please comment or provide details below to improve the information on MS. MARYANN CATHERINE RICHARDSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.