Mary Poore, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

R207503 Issued in MD

Practice address

314 Grove Neck Rd
Earleville, MD 21919-3008

Phone

(410) 275-6229

NPI assigned

Aug 11, 2023

Last updated

Aug 11, 2023By 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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1295418614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "493 POND NECK RD",
            "city": "EARLEVILLE",
            "state": "MD",
            "postal_code": "219192407",
            "telephone_number": "435-533-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 GROVE NECK RD",
            "city": "EARLEVILLE",
            "state": "MD",
            "postal_code": "219193008",
            "telephone_number": "410-275-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POORE",
        "first_name": "MARY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "R207503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexia Nduka
• Colleen Elizabeth Overstreet, M.S.P.T.
• Cali Peterson, LPN
• Christine Piazza
• Lexus Pickett
• Joshua L Ragnis
• Sarah Richards
• Thomas Michael Roarty, CRNP
• Amanda Russell
• Hayley Anna Singleton

• Addiction (Substance Use Disorder) Registered Nurse in Earleville, MD
• Providers in Earleville, MD by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.