Mary Espejo

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

343160 Issued in NC

Practice address

349 Legends Dr
Raeford, NC 28376-4404

Phone

(845) 803-5746

NPI assigned

Nov 20, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1184449571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 LEGENDS DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283764404",
            "telephone_number": "845-803-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 LEGENDS DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283764404",
            "telephone_number": "845-803-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPEJO",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "753731",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "156664",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "343160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ely Enterprises, Inc.
• Embassy Health Network
• Empowerment Group Home Care Inc
• Endless Abilities Autism Services, LLC
• Enhanced Transportation LLC
• Hunter Evans
• Tisha Evans
• Roshia Everet
• Everlasting Home Care Agency
• Express Delivery Transport

• Registered Nurse in Raeford, NC
• Providers in Raeford, NC by specialty
• Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.