Individual provider Active NPI

Jean Sauda, R.N.

  • School Registered Nurse
  • Severna Park, MD
National Provider Identifier
1053539296
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
R136603 Issued in MD
Practice address
122 Hoyle LN
Severna Park, MD 21146-4718
Phone
(410) 222-6565
Fax
(410) 384-9584
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X R136603 MD Primary

Addresses

Primary practice location

122 Hoyle LN
Severna Park, MD 21146-4718

Mailing address

1718 Sturbridge PL
Crofton, MD 21114-2010
Phone (410) 451-0664

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R136603MDMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053539296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 STURBRIDGE PL",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142010",
            "telephone_number": "410-451-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 HOYLE LN",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464718",
            "telephone_number": "410-222-6565",
            "fax_number": "410-384-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUDA",
        "first_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "MD",
            "license": "R136603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna 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.

Verify at the official NPI Registry.