Active NPI
Mary Ann Honeycutt, RNP-C
- Psychiatric/Mental Health Nurse Practitioner
- Yucca Valley, CA
National Provider Identifier
1891798609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN207997
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207997 | Other | CA | REGISTERED 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
| License | State | Type | Specialty |
|---|---|---|---|
| 207997 | CA | MD | Registered Nurse |
| RN207997 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinical Psychologist
- Yucca Valley, CA
- NPI 1982607784
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.