Mary Ann Duckworth

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

067031 Issued in MO

Practice address

130 Calo LN
Lake Ozark, MO 65049-9208

Phone

(573) 746-7361

NPI assigned

May 8, 2026

Last updated

May 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1778198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1285562546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4514 COVE RD",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650652306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CALO LN",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650499208",
            "telephone_number": "573-746-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCKWORTH",
        "first_name": "MARY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-08",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MO",
            "license": "067031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Sue Creasy, SLP
• Colleen Annette Cueni-Smith, P.T.
• Jean Louise Curtit-Voss, DC
• Annmarie Davis, RN
• Randall Galen Drake, D.C.
• Tiffany Duncan-Ash, LPC
• Cibele F.C. Elliott, LPC
• Embark by Calo
• Carissa Lynn Esposito, PTA
• Patricia J Evans, MA

• General Practice Registered Nurse in Lake Ozark, MO
• Providers in Lake Ozark, MO by specialty
• General Practice Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.