Active NPI
Mary Beth Collins, NCLMBT #9264
- Specialist
- Dunn, NC
National Provider Identifier
1215356506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 9264
- Practice address
- 509A Erwin Rd
Dunn, NC 28334-4517 - Phone
- (910) 891-9577
- NPI assigned
- Apr 15, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 9264 | NC | Primary |
Addresses
Primary practice location
509A Erwin Rd
Dunn, NC 28334-4517
Mailing address
509A Erwin Rd
Dunn, NC 28334-4517
Phone (910) 891-9577
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9264 | NC | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397520000000",
"number": "1215356506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509A ERWIN RD",
"city": "DUNN",
"state": "NC",
"postal_code": "283344517",
"telephone_number": "910-891-9577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509A ERWIN RD",
"city": "DUNN",
"state": "NC",
"postal_code": "283344517",
"telephone_number": "910-891-9577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "MARY",
"middle_name": "BETH",
"credential": "NCLMBT #9264",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-15",
"last_updated": "2014-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "9264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dunn, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.