Active NPI
Alison C Eissler, CRNP
- Adult Health Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1003209503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R205878
- Practice address
- 312 N. Martin Luther King Jr. Blvd
Suite 102
Baltimore, MD 21201 - Phone
- (610) 716-0192
- NPI assigned
- Mar 9, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R205878 | MD | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | R205878 | MD |
Addresses
Primary practice location
312 N. Martin Luther King Jr. Blvd
Suite 102
Baltimore, MD 21201
Mailing address
312 N. Martin Luther King Jr. Boulevard
Suite 102
Baltimore, MD 21201
Phone (610) 715-0192
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R205878 | MD | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425859200000",
"number": "1003209503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 N. MARTIN LUTHER KING JR. BOULEVARD",
"address_2": "SUITE 102",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21201",
"telephone_number": "610-715-0192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 N. MARTIN LUTHER KING JR. BLVD",
"address_2": "SUITE 102",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21201",
"telephone_number": "610-716-0192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISSLER",
"first_name": "ALISON",
"middle_name": "C",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-09",
"last_updated": "2015-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MD",
"license": "R205878",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MD",
"license": "R205878",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.