Mary A Herron

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

26NN03109700 Issued in NJ

Practice address

70 Cohansey St
Bridgeton, NJ 08302

Phone

(856) 451-4700

Fax

(856) 451-0029

NPI assigned

Jun 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: mary.herron.p1@direct.cchn.nextgenshare.com

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1366479891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 PACIFIC AVE",
            "address_2": "C-204",
            "city": "WILDWOOD",
            "state": "NJ",
            "postal_code": "082604360",
            "telephone_number": "609-522-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 COHANSEY ST",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "08302",
            "telephone_number": "856-451-4700",
            "fax_number": "856-451-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRON",
        "first_name": "MARY",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "NN03109700",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NN03109700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health Access Network
• Gretchen Heller, RDH
• Sumer Hemple
• Simone Henry, LPC
• Ella L Heritage, LMT
• Letizia S Hickox, RPH
• Raeshonna Hill, CNA
• Sharie G Hiller, CNM
• Ronda M Hindermyer, DPM
• Thanh Xuan Hoang, PHARM D

• Women's Health Nurse Practitioner in Bridgeton, NJ
• Providers in Bridgeton, NJ by specialty
• Women's Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.