Active NPI
Mary D Darby-McLaurin, RN
- Hospice Registered Nurse
- Laurel, MS
National Provider Identifier
1144579400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice Registered Nurse
- License
- R875079
- Practice address
- 39 Kimberley Dr
Laurel, MS 39440-2184 - Phone
- (601) 344-7801
- Fax
- (601) 342-2766
- NPI assigned
- Sep 2, 2012
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | |||
| Administrator Registered Nurse | 163WA2000X | R875079 | MS | |
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Hospice Registered Nurse | 163WH1000X | R875079 | MS | Primary |
Addresses
Primary practice location
39 Kimberley Dr
Laurel, MS 39440-2184
Mailing address
39 Kimberley Dr
Laurel, MS 39440-2184
Phone (601) 344-7801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08137540 | Medicaid | MS |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R875079 | MS | MD | Hospice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Touch Angels | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- In Home Supportive Care Agency
- Laurel, MS
- NPI 1134845696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390176000000",
"number": "1144579400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 KIMBERLEY DR",
"city": "LAUREL",
"state": "MS",
"postal_code": "394402184",
"telephone_number": "601-344-7801",
"fax_number": "601-342-2766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 KIMBERLEY DR",
"city": "LAUREL",
"state": "MS",
"postal_code": "394402184",
"telephone_number": "601-344-7801",
"fax_number": "601-342-2766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARBY-MCLAURIN",
"first_name": "MARY",
"middle_name": "D",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-02",
"last_updated": "2014-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "MS",
"license": "R875079",
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "MS",
"license": "R875079",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08137540",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.