Mary Isabelle Anderson

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

72 Merriam Hill Rd
Greenville, NH 03048-3300

Phone

(603) 213-1189

NPI assigned

Nov 2, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1215700174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 MERRIAM HILL RD",
            "city": "GREENVILLE",
            "state": "NH",
            "postal_code": "030483300",
            "telephone_number": "603-213-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 MERRIAM HILL RD",
            "city": "GREENVILLE",
            "state": "NH",
            "postal_code": "030483300",
            "telephone_number": "603-213-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARY",
        "middle_name": "ISABELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph R Benham III, ATC
• Charlotte Ann Duval
• Laurie Diane Eckles, L.C.S.W.
• Brittany Regula, MSOT, OTR/L
• Kelly Ann Vokey

• All providers in Greenville, NH
• Community/Behavioral Health Agency in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.