Active NPI
Lucy Mary Black
- Counselor
- Hooper Bay, AK
National Provider Identifier
1992137319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- Airport Road
Hooper Bay, AK 99604-0049 - Phone
- (907) 758-3500
- Fax
- (907) 758-3540
- NPI assigned
- Aug 8, 2013
- Last updated
- Dec 26, 2013
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
Airport Road
Hooper Bay, AK 99604-0049
Mailing address
PO Box 49
Hooper Bay, AK 99604-0049
Phone (907) 758-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1020986 | Medicaid | AK |
Other names 1
- Lucy Mary Stone
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388016000000",
"number": "1992137319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 49",
"city": "HOOPER BAY",
"state": "AK",
"postal_code": "996040049",
"telephone_number": "907-758-3500",
"fax_number": "907-758-3540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AIRPORT ROAD",
"city": "HOOPER BAY",
"state": "AK",
"postal_code": "996040049",
"telephone_number": "907-758-3500",
"fax_number": "907-758-3540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK",
"first_name": "LUCY",
"middle_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-08",
"last_updated": "2013-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1020986",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LUCY",
"last_name": "STONE",
"middle_name": "MARY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hooper Bay, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.