Active NPI
Her Proservices
- Health Service Clinic/Center
- Baltimore, MD
National Provider Identifier
1033976105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- HER PROSERVICES
- Practice address
- 6340 Security Blvd Ste 100
Baltimore, MD 21207-5284 - Phone
- (202) 696-8840
- NPI assigned
- Mar 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Coumba Edmondson
- Title
- Owner
- Phone
- (202) 696-8840
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
6340 Security Blvd Ste 100
Baltimore, MD 21207-5284
Mailing address
6318 Greenspring Ave Apt 401
Baltimore, MD 21209-3236
Phone (202) 696-8840
Other names 1
- HER PROSERVICES
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | HERPROSERVICES@OUTLOOK.COM | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Technician
- Sparks, MD
- NPI 1396507802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709510400000",
"number": "1033976105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6318 GREENSPRING AVE APT 401",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212093236",
"telephone_number": "202-696-8840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6340 SECURITY BLVD STE 100",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212075284",
"telephone_number": "202-696-8840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HER PROSERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-04",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A",
"authorized_official_last_name": "EDMONDSON",
"authorized_official_first_name": "COUMBA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "202-696-8840"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "HERPROSERVICES@OUTLOOK.COM",
"affiliation": "N",
"endpointDescription": "COMPANY EMAIL",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6340 Security Blvd Ste 100",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "212075284",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "HER PROSERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}
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 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.