Individual provider Active NPI

Deanna Jean Wiseman, MSN, RN

  • Home Health Registered Nurse
  • Baltimore, MD
National Provider Identifier
1053091264
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
R195793 Issued in MD
Practice address
5233 King Ave Ste 200
Baltimore, MD 21237-4003
Phone
(410) 933-2900
NPI assigned
Jul 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X R195793 MD Primary

Addresses

Primary practice location

5233 King Ave Ste 200
Baltimore, MD 21237-4003

Mailing address

364 Mount Olivet Church Rd
Airville, PA 17302-9092
Phone (410) 808-9648

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)
Not enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R195793MDMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Health Visiting Nurse Association, Inc. CurrentSince Jul 23, 2023 Accepting new patients
Medstar Health Visiting Nurse Association, Inc. PastSince Jul 23, 2023 Accepting new patients

Locations

5233 King Ave
Ste 200
Rosedale, MD 21237
Phone (410) 933-2900

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1053091264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 MOUNT OLIVET CHURCH RD",
            "city": "AIRVILLE",
            "state": "PA",
            "postal_code": "173029092",
            "telephone_number": "410-808-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5233 KING AVE STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374003",
            "telephone_number": "410-933-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "DEANNA",
        "middle_name": "JEAN",
        "credential": "MSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MD",
            "license": "R195793",
            "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 Jul 21, 2023; 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.