Individual provider Active NPI

Mary Sullivan Carey, RN,IBCLC

  • Lactation Consultant (Registered Nurse)
  • Easthampton, MA
National Provider Identifier
1285841874
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
105--21980 Issued in MA
Practice address
14 Pinebrook Dr
Easthampton, MA 01027-9723
Phone
(413) 529-2200
Fax
(413) 529-2203
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 105--21980 MA Primary

Addresses

Primary practice location

14 Pinebrook Dr
Easthampton, MA 01027-9723

Mailing address

14 Pinebrook Dr
Easthampton, MA 01027-9723
Phone (413) 529-2200

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
105--21980MAMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285841874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PINEBROOK DR",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010279723",
            "telephone_number": "413-529-2200",
            "fax_number": "413-529-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PINEBROOK DR",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010279723",
            "telephone_number": "413-529-2200",
            "fax_number": "413-529-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAREY",
        "first_name": "MARY",
        "middle_name": "SULLIVAN",
        "credential": "RN,IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MA",
            "license": "105--21980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easthampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.