Individual provider Active NPI

Mindy R Maglione, NP

  • Adult Health Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1255501540
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5003915 Issued in NC
Practice address
2032 S 17TH St
Suite 101
Wilmington, NC 28401-6678
Phone
(910) 763-3738
Fax
(910) 763-0454
NPI assigned
Mar 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 5003915 NC Primary

Addresses

Primary practice location

2032 S 17TH St
Suite 101
Wilmington, NC 28401-6678

Mailing address

2032 S 17TH St
Suite 101
Wilmington, NC 28401-6678
Phone (910) 763-3738

Other names 1

  • Mindy Ellen Robinson Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1255501540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 S 17TH ST",
            "address_2": "SUITE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016678",
            "telephone_number": "910-763-3738",
            "fax_number": "910-763-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 S 17TH ST",
            "address_2": "SUITE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016678",
            "telephone_number": "910-763-3738",
            "fax_number": "910-763-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGLIONE",
        "first_name": "MINDY",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-03",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5003915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINDY",
            "last_name": "ROBINSON",
            "middle_name": "ELLEN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.