Active NPI
Marigrace McNamara, RN, L.AC
- Acupuncturist
- Mount Dora, FL
National Provider Identifier
1982804415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP 1485
- Practice address
- 1416 N Donnelly St
Mount Dora, FL 32757-2814 - Phone
- (352) 735-0979
- Fax
- (352) 735-4772
- NPI assigned
- Jul 23, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP 1485 | FL | Primary |
Addresses
Primary practice location
1416 N Donnelly St
Mount Dora, FL 32757-2814
Mailing address
PO Box 2012
Mount Dora, FL 32756-2012
Phone (352) 735-0979
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP 1485 | FL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185148800000",
"number": "1982804415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2012",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327562012",
"telephone_number": "352-735-0979",
"fax_number": "352-735-4772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1416 N DONNELLY ST",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327572814",
"telephone_number": "352-735-0979",
"fax_number": "352-735-4772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNAMARA",
"first_name": "MARIGRACE",
"name_prefix": "Miss",
"credential": "RN, L.AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-23",
"last_updated": "2007-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP 1485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Dora, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.