Active NPI
Paula Casey, LMT
- Specialist
- Dover, DE
National Provider Identifier
1083019319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MT-0002663
- Practice address
- 156 S State St
Dover, DE 19901-7314 - Phone
- (302) 674-2380
- Fax
- (302) 674-1299
- NPI assigned
- Oct 29, 2014
- Last updated
- Feb 3, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MT-0002663 | DE | Primary |
Addresses
Primary practice location
156 S State St
Dover, DE 19901-7314
Mailing address
156 S State St
Dover, DE 19901-7314
Phone (302) 674-2380
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10830193619 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT-0002663 | DE | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454457600000",
"number": "1083019319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 S STATE ST",
"city": "DOVER",
"state": "DE",
"postal_code": "199017314",
"telephone_number": "302-674-2380",
"fax_number": "302-674-1299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 S STATE ST",
"city": "DOVER",
"state": "DE",
"postal_code": "199017314",
"telephone_number": "302-674-2380",
"fax_number": "302-674-1299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASEY",
"first_name": "PAULA",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-29",
"last_updated": "2016-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "DE",
"license": "MT-0002663",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10830193619",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.