Active NPI
Mary Conaway Hungerford, PNP-PC
- Pediatric Nurse Practitioner
- Glen Allen, VA
National Provider Identifier
1356024178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 0024187719
- Practice address
- 11551 Nuckols Rd Ste F
Glen Allen, VA 23059-5565 - Phone
- (804) 364-4400
- Fax
- (804) 364-0120
- NPI assigned
- Aug 9, 2023
- Last updated
- Aug 19, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 0024187719 | VA | Primary |
Addresses
Primary practice location
11551 Nuckols Rd Ste F
Glen Allen, VA 23059-5565
Mailing address
338 Running Cedar TRL
Manakin Sabot, VA 23103-3314
Phone (804) 773-9934
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024187719 | VA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henrico Pediatrics, P.C. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Adolescent Medicine Physician
- Richmond, VA
- NPI 1104906841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755561600000",
"number": "1356024178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "338 RUNNING CEDAR TRL",
"city": "MANAKIN SABOT",
"state": "VA",
"postal_code": "231033314",
"telephone_number": "804-773-9934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11551 NUCKOLS RD STE F",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230595565",
"telephone_number": "804-364-4400",
"fax_number": "804-364-0120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNGERFORD",
"first_name": "MARY",
"middle_name": "CONAWAY",
"credential": "PNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-09",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "VA",
"license": "0024187719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.