Mary Ann Kearley, A.P.R.N.

Primary specialty

Community Health/Public Health Clinical Nurse SpecialistTaxonomy code 364SC1501X

License

0015000183 Issued in VA

Practice address

6465 College Park SQ
Suite 210
Virginia Beach, VA 23464-3609

Phone

(757) 420-0530

Fax

(757) 420-0488

NPI assigned

Nov 22, 2006

Last updated

Feb 9, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

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.

• Comprehensive Psychological Services

  • Professional Counselor
  • Chesapeake, VA
  • NPI 1598861387
  NPD (past)
• Elizabeth McGinnis LPC LMFT LLC

  • Professional Counselor
  • Chesapeake, VA
  • NPI 1649789983
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1215002290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6465 COLLEGE PARK SQ",
            "address_2": "SUITE 210",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643609",
            "telephone_number": "757-420-0530",
            "fax_number": "757-420-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6465 COLLEGE PARK SQ",
            "address_2": "SUITE 210",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643609",
            "telephone_number": "757-420-0530",
            "fax_number": "757-420-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARLEY",
        "first_name": "MARY ANN",
        "name_prefix": "Ms.",
        "credential": "A.P.R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC1501X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "VA",
            "license": "0015000183",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701001342",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010060389",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen W. Kayota, MD
• Cynthia Kays, DPT
• Demetrios James Kazakis, MD
• Kazvas Family Services LLC
• KDB & Jay LLC (Peace & Love Home Care)
• Timothy Michael Kearns, PA
• Matthew Keats, MD
• Triston Kechter
• Elliott Spencer Keck, IDC
• Adam John Keefe, D.C.

• Clinical Nurse Specialist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Nurse Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.