Active NPI
Marie Dominique Ashen, C.R.N.P.
- Nurse Practitioner
- Lutherville Timonium, MD
National Provider Identifier
1003871831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R150082
- Practice address
- 10755 Falls Rd
Pavilion 1 Suite 360
Lutherville Timonium, MD 21093-4515 - Phone
- (410) 583-2740
- Fax
- (410) 583-2741
- NPI assigned
- Apr 17, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R150082 | MD | Primary |
Addresses
Primary practice location
10755 Falls Rd
Pavilion 1 Suite 360
Lutherville Timonium, MD 21093-4515
Mailing address
10755 Falls Rd
Pavilion 1 Suite 360
Lutherville Timonium, MD 21093-4515
Phone (410) 583-2740
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 920700700 | Medicaid | MD |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- mashen971566@direct.hopkinsmedicine.org
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": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390867200000",
"number": "1003871831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10755 FALLS RD",
"address_2": "PAVILION 1 SUITE 360",
"city": "LUTHERVILLE TIMONIUM",
"state": "MD",
"postal_code": "210934515",
"telephone_number": "410-583-2740",
"fax_number": "410-583-2741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10755 FALLS RD",
"address_2": "PAVILION 1 SUITE 360",
"city": "LUTHERVILLE TIMONIUM",
"state": "MD",
"postal_code": "210934515",
"telephone_number": "410-583-2740",
"fax_number": "410-583-2741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASHEN",
"first_name": "MARIE",
"middle_name": "DOMINIQUE",
"credential": "C.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-17",
"last_updated": "2014-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R150082",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "920700700",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lutherville Timonium, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.