MS. Mary Michelle Lively, NP-C is a family nurse practitioner in Dallas, TX with 12 years of experience. MS. Mary Michelle Lively, NP-C NPI is 1114261401. 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:
8198 WALNUT HILL LN STE 100
DALLAS, TX
ZIP 75231-316
Phone: (214) 345-4449
Fax: (214) 345-1238
The NPI 1114261401 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter (HCPCS:G0434)
The enumeration date for this NPI number is 11/27/2012 and was last updated on 9/20/2016.