Individual provider Active NPI

Mary Margaret Tripp Hether, FNP-C

  • Nurse Practitioner
  • Dunn, NC
National Provider Identifier
1225404866
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5007894 Issued in NC
Practice address
1120 W Broad St Ste B
Dunn, NC 28334-4605
Phone
(910) 591-1277
Fax
(910) 255-5147
NPI assigned
Aug 18, 2015
Last updated
Jan 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5007894 NC Primary

Addresses

Primary practice location

1120 W Broad St Ste B
Dunn, NC 28334-4605

Mailing address

1120 W Broad St Ste B
Dunn, NC 28334-4605
Phone (910) 591-1277

Other practice location 1

108 Benjamine Tripp Ln
Dunn, NC 28334-5683
Phone (919) 634-5700

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5007894NCMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1225404866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W BROAD ST STE B",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344605",
            "telephone_number": "910-591-1277",
            "fax_number": "910-255-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W BROAD ST STE B",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344605",
            "telephone_number": "910-591-1277",
            "fax_number": "910-255-5147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Benjamine Tripp Ln",
            "address_purpose": "LOCATION",
            "city": "Dunn",
            "state": "NC",
            "postal_code": "283345683",
            "country_code": "US",
            "telephone_number": "919-634-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HETHER",
        "first_name": "MARY MARGARET",
        "middle_name": "TRIPP",
        "name_prefix": "Dr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5007894",
            "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 Jan 25, 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.