Active NPI
Mary May Haerer, APRN, AGPCNP-BC
- Adult Health Nurse Practitioner
- Shelburne Falls, MA
National Provider Identifier
1215346366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN2292514
- Practice address
- 191 Lower St
Shelburne Falls, MA 01370-9402 - Phone
- (413) 625-9300
- NPI assigned
- Aug 2, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | RN2292514 | MA | |
| Adult Health Nurse Practitioner | 363LA2200X | RN2292514 | MA | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | RN2292514 | MA |
Addresses
Primary practice location
191 Lower St
Shelburne Falls, MA 01370-9402
Mailing address
191 Lower St
Shelburne Falls, MA 01370-9402
Phone (413) 625-9300
Other names 1
- Mary May Pratt
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2292514 | MA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Choice Hospice of Massachusetts, LLC | Past | 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.
-
- Community Based Hospice Care Agency
- Northampton, MA
- NPI 1063691814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414627200000",
"number": "1215346366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 LOWER ST",
"city": "SHELBURNE FALLS",
"state": "MA",
"postal_code": "013709402",
"telephone_number": "413-625-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 LOWER ST",
"city": "SHELBURNE FALLS",
"state": "MA",
"postal_code": "013709402",
"telephone_number": "413-625-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAERER",
"first_name": "MARY MAY",
"credential": "APRN, AGPCNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-02",
"last_updated": "2014-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MA",
"license": "RN2292514",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "RN2292514",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MA",
"license": "RN2292514",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY MAY",
"last_name": "PRATT",
"credential": "APRN, AGPCNP-BC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Shelburne Falls, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.