Individual provider Active NPI

Mary Ann Honeycutt, RNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Yucca Valley, CA
National Provider Identifier
1891798609
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN207997 Issued in CA
Practice address
7293 Dumosa Ave Ste 8
Yucca Valley, CA 92284-3700
Phone
(760) 369-7166
Fax
(760) 369-7167
NPI assigned
May 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 207997 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN207997 CA Primary

Addresses

Primary practice location

7293 Dumosa Ave Ste 8
Yucca Valley, CA 92284-3700

Mailing address

7293 Dumosa Ave Ste 8
Yucca Valley, CA 92284-3700
Phone (760) 369-7166

Other identifiers 1

IdentifierTypeStateIssuer
207997OtherCAREGISTERED NURSE PRACTITI

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
207997CAMDRegistered Nurse
RN207997CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel D. Shirbroun, PHD, Inc, Psychologist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1891798609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7293 DUMOSA AVE STE 8",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922843700",
            "telephone_number": "760-369-7166",
            "fax_number": "760-369-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7293 DUMOSA AVE STE 8",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922843700",
            "telephone_number": "760-369-7166",
            "fax_number": "760-369-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONEYCUTT",
        "first_name": "MARY ANN",
        "name_prefix": "Ms.",
        "credential": "RNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "207997",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "RN207997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE PRACTITI",
            "identifier": "207997",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucca Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.