Individual provider Active NPI

Maureen L McGary, MSN, NP-C

  • Registered Nurse
  • Rocky Mount, VA
National Provider Identifier
1336128818
Registry record updated Dec 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
0001065202 Issued in VA
Practice address
390 S Main St
Suite 302
Rocky Mount, VA 24151-1711
Phone
(540) 484-4855
Fax
(540) 484-4865
NPI assigned
Jan 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001065202 VA Primary
Nurse Practitioner 363L00000X 0024-166101 VA

Addresses

Primary practice location

390 S Main St
Suite 302
Rocky Mount, VA 24151-1711

Mailing address

7817 Booker T Washington Hwy
Wirtz, VA 24184-4270
Phone (540) 721-3319

Other identifiers 1

IdentifierTypeStateIssuer
010372682MedicaidVA

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)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0001065202VAMDRegistered Nurse
0024-166101VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Healthcare Corporation Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228521600000",
    "number": "1336128818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7817 BOOKER T WASHINGTON HWY",
            "city": "WIRTZ",
            "state": "VA",
            "postal_code": "241844270",
            "telephone_number": "540-721-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 S MAIN ST",
            "address_2": "SUITE 302",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241511711",
            "telephone_number": "540-484-4855",
            "fax_number": "540-484-4865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGARY",
        "first_name": "MAUREEN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MSN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2008-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001065202",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024-166101",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010372682",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2008; 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.