Active NPI
Annette R Maguire, M.S.
- Counselor
- Fernandina Beach, FL
National Provider Identifier
1497806186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MH 3725
- Practice address
- 1303 Jasmine St Ste 102
Fernandina Beach, FL 32034-2991 - Phone
- (904) 206-0734
- Fax
- (904) 491-0127
- NPI assigned
- Jan 16, 2007
- Last updated
- Mar 6, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MH 3725 | FL | Primary |
| Marriage & Family Therapist | 106H00000X | MT 1590 | FL |
Addresses
Primary practice location
1303 Jasmine St Ste 102
Fernandina Beach, FL 32034-2991
Mailing address
PO Box 15106
Fernandina Beach, FL 32035-3102
Phone (904) 206-0734
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH 3725 | FL | MD | Counselor |
| MT 1590 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204761600000",
"number": "1497806186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15106",
"city": "FERNANDINA BEACH",
"state": "FL",
"postal_code": "320353102",
"telephone_number": "904-206-0734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 JASMINE ST STE 102",
"city": "FERNANDINA BEACH",
"state": "FL",
"postal_code": "320342991",
"telephone_number": "904-206-0734",
"fax_number": "904-491-0127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGUIRE",
"first_name": "ANNETTE",
"middle_name": "R",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2008-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "MH 3725",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT 1590",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fernandina Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.