Mary Kelley Cousins, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-096694 Issued in AL

Practice address

290 Laney LN
Deatsville, AL 36022-4522

Phone

(334) 301-1296

NPI assigned

Jun 30, 2019

Last updated

Jun 30, 2019By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Your Doctor's Office, PCGroup PAC ID 3678851409, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Your Doctor's Office, PC

  • Family Medicine Physician
  • Montgomery, AL
  • NPI 1003267899
  Medicare reassignment Care Compare group NPD
• Alabama Post-Acute Medical Service 1 PC

  • Hospitalist Physician
  • Phenix City, AL
  • NPI 1073052403
  Medicare reassignment NPD
• CS Pacs 3 Southeast, LLC

  • Hospitalist Physician
  • Bluefield, WV
  • NPI 1154104958

  AL

  Medicare reassignment NPD
• NM Pacs 2 LLC

  • Hospitalist Physician
  • Albuquerque, NM
  • NPI 1366928749

  AL

  Medicare reassignment NPD

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

{
    "created_epoch": "1561852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561852800000",
    "number": "1326600362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 LANEY LN",
            "city": "DEATSVILLE",
            "state": "AL",
            "postal_code": "360224522",
            "telephone_number": "334-301-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 LANEY LN",
            "city": "DEATSVILLE",
            "state": "AL",
            "postal_code": "360224522",
            "telephone_number": "334-301-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUSINS",
        "first_name": "MARY",
        "middle_name": "KELLEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-30",
        "last_updated": "2019-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-096694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Luke Barkley, CRNP
• Begin Within Support Services, LLC
• Melissa Diana Bishop
• Christina Elizabeth Brady, NURSE PRACTITIONER
• Robert Steven Browning, OTR/L; RN
• Deatsville Care Foundation, Inc. (Resurrection Life Center)
• Cody Brian Dingman, DPT
• Elite Rehab Holtville LLC
• Express Mro (Pine Level Family Care)
• William Donald Gill II, PT

• Family Nurse Practitioner in Deatsville, AL
• Providers in Deatsville, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.