Individual provider Active NPI

Maureen Gurney Migliore, MS, LPA

  • Psychologist
  • Beaufort, NC
National Provider Identifier
1437276755
Registry record updated Nov 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1428 Issued in NC
Practice address
601 Cedar St
Suite 5
Beaufort, NC 28516-1999
Phone
(252) 838-1605
NPI assigned
Mar 23, 2007
Last updated
Nov 30, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1428 NC Primary

Addresses

Primary practice location

601 Cedar St
Suite 5
Beaufort, NC 28516-1999

Mailing address

601 Cedar St
Suite 5
Beaufort, NC 28516-1999
Phone (252) 838-1605

Other identifiers 2

IdentifierTypeStateIssuer
046MCOtherNCBLUE CROSS BLUE SHIELD
6107712MedicaidNC

Other names 1

  • Ms. Maureen Gurney Woodward Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1428NCMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385769600000",
    "number": "1437276755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CEDAR ST",
            "address_2": "SUITE 5",
            "city": "BEAUFORT",
            "state": "NC",
            "postal_code": "285161999",
            "telephone_number": "252-838-1605",
            "fax_number": "252-838-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CEDAR ST",
            "address_2": "SUITE 5",
            "city": "BEAUFORT",
            "state": "NC",
            "postal_code": "285161999",
            "telephone_number": "252-838-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGLIORE",
        "first_name": "MAUREEN",
        "middle_name": "GURNEY",
        "name_prefix": "Ms.",
        "credential": "MS, LPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2013-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "1428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "046MC",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6107712",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "WOODWARD",
            "middle_name": "GURNEY",
            "prefix": "MS.",
            "credential": "MS, LPA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beaufort, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2013; 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.