Individual provider Active NPI

Mary M Drury, ARNP

  • Pediatric Nurse Practitioner
  • Dubuque, IA
National Provider Identifier
1174677074
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
075072 Issued in IA
Practice address
799 Main St
Ste 230
Dubuque, IA 52001-6844
Phone
(563) 556-3700
Fax
(563) 556-3702
NPI assigned
Jan 22, 2007
Last updated
Feb 10, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 075072 IA Primary

Addresses

Primary practice location

799 Main St
Ste 230
Dubuque, IA 52001-6844

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1007
Phone (563) 556-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071107000511 IA Practitioner - Nurse Practitioner 3971690918 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
075072IAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State University of Iowa CurrentSince Feb 4, 2011 Accepting new patients

Locations

799 Main St
Ste 230
Dubuque, IA 52001
Phone (563) 382-1277

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-2633

200 Hawkins Dr
#H
Iowa City, IA 52242

Interoperability endpoints

  • Direct secure messaging: mdrury18518@uihcdirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297296000000",
    "number": "1174677074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421007",
            "telephone_number": "563-556-3700",
            "fax_number": "563-556-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 MAIN ST",
            "address_2": "STE 230",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016844",
            "telephone_number": "563-556-3700",
            "fax_number": "563-556-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRURY",
        "first_name": "MARY",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2011-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IA",
            "license": "075072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.