Mary Lu Egidy, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

74564 Issued in KS

Practice address

2619 W. 6TH St. Suite C
Lawrence, KS 66049

Phone

(785) 830-8299

Fax

(785) 749-2581

NPI assigned

Sep 5, 2006

Last updated

Jan 23, 2017By 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 2

Addresses

Other identifiers 3

Other names 1

• Mary Lu Egidy Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Therapy Institute Midwest

  • Clinical Child & Adolescent Psychologist
  • Lawrence, KS
  • NPI 1306872064
  NPD (past) Authorized official

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1841392206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 W 6TH ST. SUITE C",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66049",
            "telephone_number": "785-830-8299",
            "fax_number": "785-749-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 W. 6TH ST. SUITE C",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66049",
            "telephone_number": "785-830-8299",
            "fax_number": "785-749-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGIDY",
        "first_name": "MARY",
        "middle_name": "LU",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "74564",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "KS",
            "license": "14-57857-101",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KS",
            "identifier": "160356",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100297790 C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KC",
            "identifier": "29894028",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY LU",
            "last_name": "EGIDY",
            "credential": "MSN ARNP BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Edna a. Hill Child Development Center
• Edwards & Wilson Periodontics, PA
• Christy L Edwards, LSCSW
• Kaylee Yvonne Edwards, LMSW
• Mark C. Edwards, DDS
• Kyle Eichelberger, PHARMD, BCPS, DPLA
• Heather N Eichman, LSCSW
• Ashley Eickhoff
• Elizabeth Toluwalase Ekwuife, RN
• Elemental Insights Counseling and Support LLC

• Psychiatric/Mental Health Nurse Practitioner in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.