Mary Ann Stanley

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

7944 Issued in NC

Legal business name

MARY ANN STANLEY

Practice address

17130 Kenton Dr
316
Cornelius, NC 28031-5919

Phone

(794) 301-9923

NPI assigned

Jul 20, 2015

Last updated

Jul 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Ann Stanley, COTA

Title

Cota

Phone

(794) 301-9923

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1700260791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17130 KENTON DR",
            "address_2": "316",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315919",
            "telephone_number": "794-301-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17130 KENTON DR",
            "address_2": "316",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315919",
            "telephone_number": "794-301-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ANN STANLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-07-20",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "COTA",
        "authorized_official_telephone_number": "794-301-9923",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "7944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE IOF NC BOARD OF OCCUPTIONAL THERAPY",
            "identifier": "7944",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary M Mangel, BCBA
• Helen Mantis, MSW, LCSWA
• Mark Creston Marien, DC
• Bruce Marschner, PT
• Sandrine G Martin, D.C.
• Lindsey Burns Mashburn, M.D.
• Heather K Mataraza
• Matts Mediride
• Kendall Paige Maurer, MA, NCC, LCMHCA
• Matthew Ryan Mayberry, DMD

• Skilled Nursing Facility in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.