Mary Jane McCreary, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5174838 Issued in FL

Practice address

3 Spiveys CT
Ormond Beach, FL 32174-8468

Phone

(386) 675-5344

NPI assigned

Mar 29, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1497044697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SPIVEYS CT",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748468",
            "telephone_number": "386-675-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SPIVEYS CT",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748468",
            "telephone_number": "386-675-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCREARY",
        "first_name": "MARY",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5174838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy James McAuliff, PTA, ATC
• Casie McCallister
• Amy Elizabeth McCandless
• Alfonza McCollum Jr., M.D.
• Anellys McCoy
• Cathy Bernice McDermott, H.A.S.
• David J McDonald, MD
• James Edward McDonnell, M.D.
• McDonough Podiatry PA
• Daria P McDonough

• Licensed Practical Nurse in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.