Active NPI
Porter Cares Maryland, LLC
- Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1063127314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- PORTER CARES MARYLAND, LLC
- Practice address
- 300 E Lombard St Ste 840
Baltimore, MD 21202-3231 - Phone
- (443) 896-6295
- NPI assigned
- Jan 20, 2023
- Organization subpart
- Yes
- Parent organization
- PORTER CARES, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Steven Christopher Simmons, APRN
- Title
- Vice President of Clinical Content
- Phone
- (443) 896-6295
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary | ||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Gerontology Nurse Practitioner | 363LG0600X |
Addresses
Primary practice location
300 E Lombard St Ste 840
Baltimore, MD 21202-3231
Mailing address
300 E Lombard St Ste 840
Baltimore, MD 21202-3231
Phone (443) 896-6295
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Porter Cares Inc
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674172800000",
"number": "1063127314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E LOMBARD ST STE 840",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212023231",
"telephone_number": "443-896-6295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E LOMBARD ST STE 840",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212023231",
"telephone_number": "443-896-6295"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORTER CARES MARYLAND, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PORTER CARES, INC",
"enumeration_date": "2023-01-20",
"last_updated": "2023-01-20",
"certification_date": "2023-01-20",
"status": "A",
"authorized_official_last_name": "SIMMONS",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "CHRISTOPHER",
"authorized_official_title_or_position": "VICE PRESIDENT OF CLINICAL CONTENT",
"authorized_official_telephone_number": "443-896-6295",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": false
}
],
"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 Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.