Mary Elizabeth Bacigalupo, RN, CCRN, ACNP, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

5549P Issued in KY

Practice address

4220 Harding Pike
Nashville, TN 37205-2005

Phone

(615) 222-4097

Fax

(615) 222-3687

NPI assigned

Mar 14, 2008

Last updated

Aug 11, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Ms. Mary Elizabeth Lockyear Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Middle Tennessee Hospitalist, PLC

  • Hospitalist Physician
  • Nashville, TN
  • NPI 1497827364

  Adult Health

  NPD (past)

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1043481369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 HARDING PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052005",
            "telephone_number": "615-222-4097",
            "fax_number": "615-222-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 HARDING PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052005",
            "telephone_number": "615-222-4097",
            "fax_number": "615-222-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACIGALUPO",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "RN, CCRN, ACNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-14",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "5549P",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "APN13258",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000562599",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100043830",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "LOCKYEAR",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "RN,  ACNP-BC, APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Justin Matthew Bachmann, MD
• Katherine Neubecker Bachmann, M.D.
• Phyllis Bachus, CRNA
• Christopher Bachuss, DNP-DCC FNP-BC
• Avinash S Bachwani, MD
• Back to Life Chiropractic, PLLC
• Back to Life Health & Wellness, LLC
• Ian Charles Backstrom, MD
• Brian E Bade, FNP
• Cathy Bader, PT

• Adult Health Nurse Practitioner in Nashville, TN
• Providers in Nashville, TN by specialty
• Adult Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.