Active NPI
Mary-Margaret Roseberry, L.AC.
- Acupuncturist
- Exeter, ME
National Provider Identifier
1962764233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC12
- Practice address
- 144 Hawk Hill Rd
Exeter, ME 04435-3009 - Phone
- (207) 379-2066
- NPI assigned
- Jun 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC12 | ME | Primary |
Addresses
Primary practice location
144 Hawk Hill Rd
Exeter, ME 04435-3009
Mailing address
144 Hawk Hill Rd
Exeter, ME 04435-3009
Phone (207) 379-2066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC12 | Other | ME | STATE LICENSE NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC12 | ME | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339545600000",
"number": "1962764233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 HAWK HILL RD",
"city": "EXETER",
"state": "ME",
"postal_code": "044353009",
"telephone_number": "207-379-2066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 HAWK HILL RD",
"city": "EXETER",
"state": "ME",
"postal_code": "044353009",
"telephone_number": "207-379-2066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEBERRY",
"first_name": "MARY-MARGARET",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-13",
"last_updated": "2012-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "ME",
"license": "AC12",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "AC12",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Exeter, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.