Active NPI
Mary Bridget Huntly, NP
- Primary Care Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1760952360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- F09180993
- Practice address
- 6655 W Sahara Ave Ste D104
Las Vegas, NV 89146 - Phone
- (725) 205-2457
- NPI assigned
- Nov 27, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | 815069 | NV | |
| Primary Care Nurse Practitioner | 363LP2300X | F09180993 | NV | Primary |
Addresses
Primary practice location
6655 W Sahara Ave Ste D104
Las Vegas, NV 89146
Mailing address
6655 W Sahara Ave Ste D104
Las Vegas, NV 89146-0846
Phone (725) 205-2457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 8.04 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 26.8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F09180993 | NV | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1760952360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6655 W SAHARA AVE STE D104",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891460846",
"telephone_number": "725-205-2457",
"fax_number": "725-240-7742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6655 W SAHARA AVE STE D104",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89146",
"telephone_number": "725-205-2457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTLY",
"first_name": "MARY",
"middle_name": "BRIDGET",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-27",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "NV",
"license": "815069",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NV",
"license": "F09180993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.