Active NPI
Theresa Christine Hall, NP
- Adult Health Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1053677575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R144384
- Practice address
- 4940 Eastern Ave
Baltimore, MD 21224-2735 - Phone
- (410) 550-0477
- NPI assigned
- Apr 10, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R144384 | MD | Primary |
Addresses
Primary practice location
4940 Eastern Ave
Baltimore, MD 21224-2735
Mailing address
217 Spry Island Rd
Joppa, MD 21085-5433
Phone (443) 307-6391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7602 Belair Rd
Baltimore, MD 21236-4088
Phone (410) 663-8100
Hospital & facility affiliations
- Stella Maris, Inc.
- Medstar Health Home Care
- Bayada Home Health Care, Inc.
- Mercy Medical Center Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Family Care, Inc. | Current | Accepting new patients |
Locations
7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654
Interoperability endpoints
- thall95732@direct.mdmercy.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1598718256
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Forest Hill, MD
- NPI 1528352747
-
- Home Health Agency
- Columbia, MD
- NPI 1558680447
-
- Home Health Agency
- Glen Burnie, MD
- NPI 1578501789
-
- Home Health Agency
- Towson, MD
- NPI 1902843451
-
- Home Health Agency
- Baltimore, MD
- NPI 1790899524
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1144282583
-
- Home Health Agency
- Timonium, MD
- NPI 1730295668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334016000000",
"number": "1053677575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 SPRY ISLAND RD",
"city": "JOPPA",
"state": "MD",
"postal_code": "210855433",
"telephone_number": "443-307-6391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4940 EASTERN AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212242735",
"telephone_number": "410-550-0477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "THERESA",
"middle_name": "CHRISTINE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-10",
"last_updated": "2012-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MD",
"license": "R144384",
"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 Apr 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.