Active NPI
Maria Macdougall
- Psychiatric/Mental Health Nurse Practitioner
- Asheville, NC
National Provider Identifier
1518457654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5010485
- 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
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 |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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
- 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Asheville, NC
- NPI 1144847377
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.