Individual provider Active NPI

Jacqueline Penny Fallows-Hart

  • Wound Care Registered Nurse
  • Baltimore, MD
National Provider Identifier
1023920543
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
License
R271517 Issued in MD
Practice address
3114 Harford Rd
Baltimore, MD 21218-3114
Phone
(201) 927-8458
NPI assigned
Sep 21, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X R271517 MD Primary

Addresses

Primary practice location

3114 Harford Rd
Baltimore, MD 21218-3114

Mailing address

3114 Harford Rd
Baltimore, MD 21218-3114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1023920543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3114 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3114 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183114",
            "telephone_number": "201-927-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLOWS-HART",
        "first_name": "JACQUELINE",
        "middle_name": "PENNY",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "MD",
            "license": "R271517",
            "primary": true
        }
    ],
    "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 Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.