Active NPI
Maria Theresa Liquete, MD
- Psychiatry Physician
- Rocky Mount, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2016-00646
- Practice address
- 2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237 - Phone
- (252) 962-8000
- NPI assigned
- Apr 22, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2016-00646 | NC | Primary |
| Psychiatry Physician | 2084P0800X | 39490 | TN | |
| Psychiatry Physician | 2084P0800X | C131074 | CA | |
| Psychiatry Physician | 2084P0800X | 0101244357 | VA |
Addresses
Primary practice location
2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237
Mailing address
220 Standiford Ave Ste F
Modesto, CA 95350-1159
Phone (812) 604-5870
Other practice location 1
201 S Main St Ste 3400
Danville, VA 24541-2932
Phone (434) 799-4588
Other practice location 2
1501 Claus Rd
Modesto, CA 95355-9711
Phone (209) 557-6300
Other practice location 3
900 W Clairemont Ave
Eau Claire, WI 54701-6122
Phone (920) 496-4700
Other practice location 4
400 N Pleasant Ave
Centralia, IL 62801-3056
Phone (618) 436-5665
Other practice location 5
423 Medical Park Dr
Lenoir City, TN 37772-5640
Phone (865) 970-9800
Other practice location 6
2900 Tyler Rd
Christiansburg, VA 24073-6374
Phone (540) 731-7311
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3331581 | Medicaid | TN | |
| 3331589 | Medicaid | TN | |
| 1435-320 | Medicaid | WI | |
| 4114432 | Other | TN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C131074 | CA | MD | Psychiatry Physician |
| 2016-00646 | NC | MD | Psychiatry Physician |
| 39490 | TN | MD | Psychiatry Physician |
| 0101244357 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| NHCS Physicians Inc | Psychiatry | Current | Accepting new patients |
| Danville Physician Practices LLC | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Current | Accepting new patients | |
| DLP Haywood Regional Medical Center LLC | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Psychiatry | Current | Accepting new patients |
| Danville Physician Practices LLC | Current | Accepting new patients | |
| Greensboro Pathology, LLC | Current | Accepting new patients | |
| DLP Haywood Regional Medical Center LLC | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Psychiatry | Current | Accepting new patients |
| Frontier Health | Past | Accepting new patients | |
| Inpatient Consultants of Tennessee, P.C. | Past | Accepting new patients | |
| Frontier Health | Past | Accepting new patients |
Locations
262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210
2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199
2301 Medpark Dr
Rocky Mount, NC 27804
Phone (252) 443-9500
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380
2 Professional Park Dr
Ste 15
Johnson City, TN 37604
Phone (423) 232-4867
3 Professional Park Dr
Ste 31
Johnson City, TN 37604
Phone (423) 232-6900
403 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-7042
2000 Brookside Dr
Fl 7
Kingsport, TN 37660
Phone (423) 857-7011
2300 Pavilion Dr
Kingsport, TN 37660
Phone (423) 765-9655
105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
851 Locust St
Rogersville, TN 37857
Phone (423) 272-2671
323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612
142 S Main St
Danville, VA 24541
Phone (434) 799-2100
201 S Main St
Ste 3400
Danville, VA 24541
Phone (434) 791-4070
Interoperability endpoints
- https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
Organizations & group practices 15
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.
-
- Emergency Medicine Physician
- Clyde, NC
- NPI 1336542067
-
- Urgent Care Clinic/Center
- Elizabethton, TN
- NPI 1144380833
-
- Cardiovascular Disease Physician
- Marion, VA
- NPI 1326159567
-
- Anesthesiology Physician
- Danville, VA
- NPI 1629022868
-
- Pulmonary Disease Physician
- Kingsport, TN
- NPI 1780986257
-
- Psychiatric Hospital Unit
- Clyde, NC
- NPI 1568618379
-
- Clinical Medical Laboratory
- Greensboro, NC
- NPI 1952396202
-
- Psychiatry Physician
- Lebanon, VA
- NPI 1275701559
-
- Psychiatry Physician
- Johnson City, TN
- NPI 1326058272
-
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
-
- Diagnostic Radiology Physician
- Danville, VA
- NPI 1265243612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759104000000",
"number": "1942266580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 STANDIFORD AVE STE F",
"city": "MODESTO",
"state": "CA",
"postal_code": "953501159",
"telephone_number": "812-604-5870",
"fax_number": "209-579-5637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2460 CURTIS ELLIS DR",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278042237",
"telephone_number": "252-962-8000"
}
],
"practiceLocations": [
{
"address_1": "201 S Main St Ste 3400",
"address_purpose": "LOCATION",
"city": "Danville",
"state": "VA",
"postal_code": "245412932",
"country_code": "US",
"telephone_number": "434-799-4588",
"fax_number": "434-773-6904",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1501 Claus Rd",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "953559711",
"country_code": "US",
"telephone_number": "209-557-6300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 W Clairemont Ave",
"address_purpose": "LOCATION",
"city": "Eau Claire",
"state": "WI",
"postal_code": "547016122",
"country_code": "US",
"telephone_number": "920-496-4700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 N Pleasant Ave",
"address_purpose": "LOCATION",
"city": "Centralia",
"state": "IL",
"postal_code": "628013056",
"country_code": "US",
"telephone_number": "618-436-5665",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "423 Medical Park Dr",
"address_purpose": "LOCATION",
"city": "Lenoir City",
"state": "TN",
"postal_code": "377725640",
"country_code": "US",
"telephone_number": "865-970-9800",
"fax_number": "865-374-7129",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2900 Tyler Rd",
"address_purpose": "LOCATION",
"city": "Christiansburg",
"state": "VA",
"postal_code": "240736374",
"country_code": "US",
"telephone_number": "540-731-7311",
"fax_number": "540-731-7377",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIQUETE",
"first_name": "MARIA",
"middle_name": "THERESA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-22",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "2016-00646",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "39490",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C131074",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101244357",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3331581",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3331589",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1435-320",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4114432",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.