Individual provider Active NPI

Maria Theresa Liquete, MD

  • Psychiatry Physician
  • Rocky Mount, NC
National Provider Identifier
1942266580
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2016-00646 Issued in NC
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

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3331581MedicaidTN
3331589MedicaidTN
1435-320MedicaidWI
4114432OtherTNBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA, NC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050712001003 TN Practitioner - Psychiatry 4385670298 Reassigns benefits to 2 organizations
I20090212000559 VA Practitioner - Psychiatry 4385670298 Reassigns benefits to 2 organizations
I20160916001302 NC Practitioner - Psychiatry 4385670298 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C131074CAMDPsychiatry Physician
2016-00646NCMDPsychiatry Physician
39490TNMDPsychiatry Physician
0101244357VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation CurrentSince Feb 12, 2017 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
NHCS Physicians Inc Psychiatry CurrentSince Aug 8, 2025 Accepting new patients
Danville Physician Practices LLC CurrentSince Nov 19, 2017 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Feb 25, 2017 Accepting new patients
DLP Haywood Regional Medical Center LLC CurrentSince Jul 1, 2016 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corporation Psychiatry CurrentSince Feb 12, 2017 Accepting new patients
Danville Physician Practices LLC CurrentSince Nov 19, 2017 Accepting new patients
Greensboro Pathology, LLC Current Accepting new patients
DLP Haywood Regional Medical Center LLC CurrentSince Jul 1, 2016 Accepting new patients
Blue Ridge Medical Management Corporation Psychiatry CurrentSince Dec 8, 2019 Accepting new patients
Frontier Health PastSince Dec 28, 2006 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

  • FHIR API: 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.

View all 15

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

Verify at the official NPI Registry.