DR. MARILYN ANDERSEN RICHARD (NPI# 1649352790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649352790 |
| Entity Type | Individual |
| Full Name | DR. MARILYN ANDERSEN RICHARD |
| Credential | APRN |
| Practice Address |
333 Colonel Ledyard Hwy Ledyard CT 06339-1909 |
| Practice Telephone | 8605727556 |
| Practice Fax Number | 8605722976 |
| Mailing Telephone | 8605727556 |
| Mailing Fax Number | 8605722976 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2011-12-07 |
| 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 |
000795 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 002771294 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942867171 | Marilyn Richard | Nurse Practitioner | 713 E Anderson St, Weatherford, TX 76086-5705 | 2019-05-22 |
| 1427509405 | Marilyn Richard | Speech-Language Pathologist | 111 Michigan Ave Nw, Hearing and Speech Department, Washington, DC 20010 | 2016-10-14 |
| Street Address |
333 COLONEL LEDYARD HWY |
| City | LEDYARD |
| State | CT |
| Zip Code | 06339-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538404728 | Michael Christopher Kendig | Veterinarian | 5 Lorenz Industrial Parkway, Ledyard, CT 06339 | 2012-11-29 |
| 1720342850 | Alyson King Gannon | Physician Assistant | 2 Lorenz Pkwy, Backus Health Center, Ledyard, CT 06339 | 2012-07-03 |
| 1265798524 | Kenneth Warren Berdeen II | Occupational Therapy Assistant | 220 Haley Rd, Ledyard, CT 06339 | 2012-04-11 |
| 1427257054 | Caitlyn Elizabeth Ogilvie | Social Worker | 24 Gallup Hill Rd, Ledyard, CT 06339 | 2007-07-13 |
| 1003965450 | Sandra Berardy | Nurse Practitioner | 75 Route 2, Mashantucket Pequot Indian Health Services, Ledyard, CT 06339 | 2007-01-08 |
| 1013093434 | Joy Holistic Counseling LLC | Social Worker | 1807 Center Groton Rd, Ledyard, CT 06339 | 2006-10-27 |
| 1972687952 | Linda R Kronick | Dentist | 77 Salem Turnpike, Suite 112, Norwich, CT 06339 | 2006-10-25 |
| 1245225887 | Town of Ledyard | Ambulance | 741 R Col Ledyard Highway, Ledyard, CT 06339 | 2005-09-20 |
| 1841338332 | Barbara Jean Savage | Social Worker | 1807 Center Groton Rd, Ledyard, CT 06339 | 2007-02-05 |
| 1508140922 | Mashantucket Pequot Tribal Council | Family Medicine | 75 Route 2, Ledyard, CT 06339-1128 | 2011-10-04 |
| Find all providers in zip 06339 | ||||
| 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 |
|---|---|---|---|---|
| 1578164935 | Sheneese Denelle Charles | Nurse Practitioner | 22 Victoria Rd, New Britain, CT 06052-1536 | 2020-11-03 |
| 1396345179 | Kate Hanselman | Nurse Practitioner | 224 Saint John St # 3l, New Haven, CT 06511-4917 | 2020-10-29 |
| 1518565399 | Gina Kolstad | Nurse Practitioner | 279 Quarry Rd # 2, Glastonbury, CT 06033-3406 | 2020-10-13 |
| 1043818966 | Shakeria C Brown | Nurse Practitioner | 567 Millville Ave Apt 3-10, Naugatuck, CT 06770-2337 | 2020-10-13 |
| 1154937910 | Gregory Guion | Nurse Practitioner | 2275 Silas Deane Highway, 2nd Floor, Rocky Hill, CT 06067-2343 | 2020-09-17 |
| 1003425331 | Ryan Keenan | Nurse Practitioner | 34 Seaview Ave, West Haven, CT 06516-6846 | 2020-07-22 |
| 1649888256 | Healthy Minds Pllc | Nurse Practitioner | 40 Russ St, Hartford, CT 06106-1520 | 2020-07-20 |
| 1174131205 | Kimberly Levitt | Nurse Practitioner | 466 Ridgebury Rd, Ridgefield, CT 06877-1228 | 2020-07-15 |
| 1801414602 | Georgina Twumasi Mental Health LLC | Nurse Practitioner | 29 Wildwood Cir, South Windsor, CT 06074-1700 | 2020-07-08 |
| 1356978688 | Rachel Feit | Nurse Practitioner | 63 Pine Tree Dr, Stamford, CT 06906-1529 | 2020-03-25 |
| Find all providers with the same taxonomy | ||||
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| 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.