Individual provider Active NPI

Mary Lynn Hall, RN

  • School Registered Nurse
  • Pulaski, VA
National Provider Identifier
1891201463
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
0001059025 Issued in VA
Practice address
202 N Washington Ave
Pulaski, VA 24301-5022
Phone
(540) 994-2554
Fax
(540) 994-2560
NPI assigned
Dec 19, 2017
Sex
Female
Sole proprietor
No

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001059025VAMDSchool Registered Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 0001059025 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

202 N Washington Ave
Pulaski, VA 24301-5022

Mailing address

202 N Washington Ave
Pulaski, VA 24301-5022
Phone (540) 994-2554

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 19, 2017.

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1891201463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N WASHINGTON AVE",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "243015022",
            "telephone_number": "540-994-2554",
            "fax_number": "540-994-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N WASHINGTON AVE",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "243015022",
            "telephone_number": "540-994-2554",
            "fax_number": "540-994-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "MARY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "VA",
            "license": "0001059025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.