Individual provider Active NPI

Maria Macdougall

  • Psychiatric/Mental Health Nurse Practitioner
  • Asheville, NC
National Provider Identifier
1518457654
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5010485 Issued in NC
Practice address
1200 Ridgefield Blvd Ste 250
Asheville, NC 28806-2287
Phone
(828) 633-6070
Fax
(828) 633-6073
NPI assigned
May 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5010485 NC Primary

Addresses

Primary practice location

1200 Ridgefield Blvd Ste 250
Asheville, NC 28806-2287

Mailing address

1502 W NC Highway 54 Ste 103
Durham, NC 27707-5572
Phone (919) 354-0840

Other practice location 1

603 E College St
Warsaw, NC 28398-2104
Phone (910) 659-1088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2022 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amica Mental Health Psychiatric/Mental Health Current Accepting new patients

Locations

100 Central Ave
Ste 4
Asheville, NC 28801
Phone (828) 215-9888

Interoperability endpoints

  • Direct secure messaging: maria.macdougall.1@31593.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1518457654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 W NC HIGHWAY 54 STE 103",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075572",
            "telephone_number": "919-354-0840",
            "fax_number": "919-748-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 RIDGEFIELD BLVD STE 250",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288062287",
            "telephone_number": "828-633-6070",
            "fax_number": "828-633-6073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 E College St",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "NC",
            "postal_code": "283982104",
            "country_code": "US",
            "telephone_number": "910-659-1088",
            "fax_number": "888-446-3125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACDOUGALL",
        "first_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5010485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.