MARY PUCKETT (NPI# 1285924324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285924324 |
| Entity Type | Individual |
| Full Name | MARY PUCKETT |
| Credential | LPC |
| Practice Address |
3125 Independence Dr Suite 108 Homewood AL 35209-4159 |
| Practice Telephone | 2059011159 |
| Practice Fax Number | 2058681314 |
| Mailing Telephone | 2059011159 |
| Mailing Fax Number | 2058681314 |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2334 | AL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346346210 | Mary Janice Puckett | Physician Assistant | 538 Scotts Creek Rd, Suite 100, Jcdph, Sylva, NC 28779 | 2006-09-16 |
| 1992040448 | Mary Ellen Puckett | Registered Nurse | 12501 Prosperity Dr, 100, Silver Spring, MD 20904-1689 | 2012-12-10 |
| 1093068686 | Mary R Puckett | Physical Therapist | 428 E Scott Ave, Knoxville, TN 37917-6362 | 2012-10-19 |
| Street Address |
3125 INDEPENDENCE DR SUITE 108 |
| City | HOMEWOOD |
| State | AL |
| Zip Code | 35209-4159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417594185 | Jennifer Nelson Carter | Dietitian, Registered | 3125 Independence Dr, Homewood, AL 35209-4159 | 2019-12-02 |
| 1730558602 | Circulogene Theranostics LLC | Clinical Medical Laboratory | 3125 Independence Dr, Suite 301, Homewood, AL 35209-4159 | 2015-09-21 |
| 1326444795 | Fl Performance,llc | Specialist | 3125 Independence Dr, Suite 300a1, Homewood, AL 35209-4159 | 2014-11-13 |
| 1689922668 | Skin Diagnostics Group, PC | Clinical Medical Laboratory | 3125 Independence Dr, Suite 301, Homewood, AL 35209-4159 | 2012-08-22 |
| 1518283423 | Margot Erika Walbert | Acupuncturist | 3125 Independence Dr, Homewood, AL 35209-4159 | 2010-04-16 |
| 1063603249 | Ashley Wolchina Allison | Dermatology | 3125 Independence Dr, Suite 301, Homewood, AL 35209-4159 | 2007-08-05 |
| 1750471637 | Michael L Eskridge | Physical Therapist | 3125 Independence Dr, 300b, Homewood, AL 35209 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
| 1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
| 1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
| 1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
| 1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
| 1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
| 1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
| 1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
| 1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
| 1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
| Find all providers in zip 35209 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392274 | Amber Drozd | Counselor | 18154 Martin Ave Ste 260430, Homewood, IL 60430-2139 | 2020-06-30 |
| 1790306611 | Emalee B. Kay | Counselor | 1628 Linden Rd, Homewood, IL 60430-1823 | 2020-05-01 |
| 1508487521 | Marisha Smith | Counselor | 18110 San Diego Ave, Homewood, IL 60430-1522 | 2020-04-30 |
| 1841825833 | True Nature Integrative Health | Counselor | 2023 Ridge Rd Unit 2sw, Homewood, IL 60430-1856 | 2020-03-10 |
| 1699334037 | Patricia Rae Ahern | Counselor | 18154 Martin Ave Ste 2, Homewood, IL 60430-2155 | 2019-06-10 |
| 1114431764 | Kyla Shaneek O'neal | Counselor | 935 175th St Ste 300, Homewood, IL 60430 | 2017-11-17 |
| 1205349644 | Phillips Counseling Practice, LLC | Counselor | 3324 Independence Dr # 100, Homewood, AL 35209-5602 | 2017-11-07 |
| 1861923567 | Kre Behavioral Health Services LLC | Counselor | 930 175th St, Homewood, IL 60430-2039 | 2017-03-23 |
| 1023554821 | Shoshanah Baht Yehudah | Counselor | 18220 Harwood Ave Ste 4c, Homewood, IL 60430-2151 | 2017-01-17 |
| 1447703475 | Sandra Meadows | Counselor | 18205 Hart Dr # U3a, Homewood, IL 60430-2569 | 2016-07-26 |
| Find all providers in HOMEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.