Mary Leslie Musumecci

Primary specialty

DriverTaxonomy code 172A00000X

License

R011463223 Issued in AL

Practice address

6014 Lakeridge Ave
Tuscaloosa, AL 35406-1489

Phone

(205) 331-9560

NPI assigned

Jun 24, 2022

Last updated

Jun 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1831821313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6014 LAKERIDGE AVE",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354061489",
            "telephone_number": "205-331-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6014 LAKERIDGE AVE",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354061489",
            "telephone_number": "205-331-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSUMECCI",
        "first_name": "MARY",
        "middle_name": "LESLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "AL",
            "license": "R011463223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ride@tidemobility.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6014 Lakeridge Ave",
            "city": "Tuscaloosa",
            "state": "AL",
            "country_code": "US",
            "postal_code": "354061489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James Paul Murphy, CRNP
• Riley Connor Murphy, D.C.
• Denise Gay Murray, OTR/L
• Bassam Mushannen, MD
• Andrew David Musso, DMD
• Jeanette H Muth, LPC
• MX6, LLC (McCracken Family Dentistry)
• My Medical Makeover
• Harriet H Myers, PH.D.
• Thomas Presley Myers Jr., RPH

• Driver in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Driver in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.