Active NPI
James Willard Nutter, EDD
- Psychologist
- Lexington Park, MD
National Provider Identifier
1053482836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 02851
- Practice address
- 47161 S Snowhill Manor Road
Lexington Park, MD 20653 - Phone
- (301) 862-9551
- Fax
- (301) 862-9551
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 02851 | MD | Primary |
Addresses
Primary practice location
47161 S Snowhill Manor Road
Lexington Park, MD 20653
Mailing address
PO Box 987
St Marys City, MD 20686-0987
Phone (301) 862-9551
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02851 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053482836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 987",
"city": "ST MARYS CITY",
"state": "MD",
"postal_code": "206860987",
"telephone_number": "301-862-9551",
"fax_number": "301-862-9551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47161 S SNOWHILL MANOR ROAD",
"city": "LEXINGTON PARK",
"state": "MD",
"postal_code": "20653",
"telephone_number": "301-862-9551",
"fax_number": "301-862-9551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUTTER",
"first_name": "JAMES",
"middle_name": "WILLARD",
"name_prefix": "Dr.",
"credential": "EDD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "02851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.