MARY PATRICIA HEADLEY FNP NPI 1114006665

NPI Information

NPI: 1114006665
Provider Name: MARY PATRICIA HEADLEY, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
5838 EDISON PL
STE 100
CARLSBAD, CA
ZIP 92008
Phone: (214) 460-3036
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Mary Patricia Headley, FNP is a family nurse practitioner in Carlsbad, CA. Mary Patricia Headley, FNP NPI is 1114006665. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5838 EDISON PL
STE 100
CARLSBAD, CA
ZIP 92008-520
Phone: (214) 460-3036

The NPI 1114006665 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 12/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	508116	TEXAS	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	22257	CALIFORNIA	No
3	363LF0000X	Nurse Practitioner	Family	22257	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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