Active NPI
Mary R Hause, M.S.ED.
- Specialist
- Ithaca, NY
National Provider Identifier
1487917829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 3226 Wilkins Rd # RC
Ithaca, NY 14850-9568 - Phone
- (607) 272-5891
- NPI assigned
- Jun 20, 2012
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | NY | Primary |
Addresses
Primary practice location
3226 Wilkins Rd # RC
Ithaca, NY 14850-9568
Mailing address
409 Hook PL
Ithaca, NY 14850-3124
Phone (607) 256-1424
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340150400000",
"number": "1487917829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 HOOK PL",
"city": "ITHACA",
"state": "NY",
"postal_code": "148503124",
"telephone_number": "607-256-1424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3226 WILKINS RD # RC",
"city": "ITHACA",
"state": "NY",
"postal_code": "148509568",
"telephone_number": "607-272-5891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUSE",
"first_name": "MARY",
"middle_name": "R",
"credential": "M.S.ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-20",
"last_updated": "2012-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.