NPIMap

Organization Active NPI

Belmont Family Practice, Inc.

  • Psychiatric/Mental Health Nurse Practitioner
  • Salisbury, MD
National Provider Identifier
1033705835
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BELMONT FAMILY PRACTICE, INC.
Practice address
1346 Belmont Ave Ste 602
Salisbury, MD 21804-4589
Phone
(443) 978-7317
Fax
(443) 736-4080
NPI assigned
Dec 15, 2020
Last updated
Dec 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Authorized official

Name
Donna Marie Gray, CRNPNPI 1437482346
Title
President
Phone
(443) 978-7317

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1346 Belmont Ave Ste 602
Salisbury, MD 21804-4589

Mailing address

1346 Belmont Ave Ste 602
Salisbury, MD 21804-4589
Phone (443) 978-7317

National Provider Directory

National Provider Directory
Tax ID family
Belmont Family Practice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1346 Belmont Ave
Ste 602
Salisbury, MD 21804
Phone (443) 978-7317

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEBHAD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1033705835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1346 BELMONT AVE STE 602",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218044589",
            "telephone_number": "443-978-7317",
            "fax_number": "443-736-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 BELMONT AVE STE 602",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218044589",
            "telephone_number": "443-978-7317",
            "fax_number": "443-736-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMONT FAMILY PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-978-7317",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.