Mary Elizabeth O'Donoghue, B.S.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

96 Keith St
Saint Augustine, FL 32084-4944

Phone

(904) 321-9616

NPI assigned

Feb 9, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1467044644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 KEITH ST",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320844944",
            "telephone_number": "904-321-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 KEITH ST",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320844944",
            "telephone_number": "904-321-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONOGHUE",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rise.lifefocus@gmail.com",
            "affiliation": "N",
            "endpointDescription": "professional email address",
            "address_1": "96 Keith St",
            "city": "St Augustine",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320844944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erika Jean Nyquist, APRN PMHNP-BC
• Courtney Michelle O'Brien, CRNA
• Cara F O'Connell-Edwards, PHD
• Kevin Matthew O'Donnell, D.C.
• Lynn M O'Donnell, PT
• Rachel O'Steen
• Oasis Medical Providers, LLC
• OB Hospitalist Group LLC
• OBGYN Associates of St Augustine PA
• Cassandra Lorenz Oborne, LMHC

• Case Manager/Care Coordinator in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.