Active NPI
Mary Kathleen Neely, WHNP-BC
- Women's Health Nurse Practitioner
- Dallas, TX
National Provider Identifier
1730556523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- AP128572
- Practice address
- 8305 Walnut Hill LN
Suite 100
Dallas, TX 75231-4217 - Phone
- (214) 363-7801
- NPI assigned
- Aug 27, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | AP128572 | TX | Primary |
Addresses
Primary practice location
8305 Walnut Hill LN
Suite 100
Dallas, TX 75231-4217
Mailing address
8305 Walnut Hill LN
Suite 100
Dallas, TX 75231-4217
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP128572 | TX | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1730556523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8305 WALNUT HILL LN",
"address_2": "SUITE 100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8305 WALNUT HILL LN",
"address_2": "SUITE 100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314217",
"telephone_number": "214-363-7801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEELY",
"first_name": "MARY",
"middle_name": "KATHLEEN",
"credential": "WHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-27",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TX",
"license": "AP128572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.