Gloria Jean Mabry

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Practice address

126 S King Richard CT
Rocky Mount, NC 27803-1152

Phone

(252) 314-3261

NPI assigned

Apr 11, 2024

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1295588846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 S KING RICHARD CT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278031152",
            "telephone_number": "252-314-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 S KING RICHARD CT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278031152",
            "telephone_number": "252-314-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABRY",
        "first_name": "GLORIA",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaneil Teague Lynch
• Kim Lyon, MSCCC-SLP
• Angel Burt Lyons
• Latrisha Monique Lyons, LCMHCA
• Margaret D. Mabie, MS,APRN,FNP-C,PMHNP-
• Nitaya Reyes Mackey, IBCLC
• Glenn Edward Macnichol, M.D.
• Macta, LLC
• Evelyn Rudo Majachani, PMHNP
• Making a Difference Grouphome

• Adult Care Home Facility in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.