Active NPI
Linda Nisanova
- Psychologist
- Annapolis, MD
National Provider Identifier
1063239903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 166 Defense Hwy
Annapolis, MD 21401-8919 - Phone
- (410) 684-3806
- NPI assigned
- Sep 23, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
166 Defense Hwy
Annapolis, MD 21401-8919
Mailing address
4901 Seminary Rd Apt 1403
Alexandria, VA 22311-1830
Phone (917) 536-3475
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1063239903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 SEMINARY RD APT 1403",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223111830",
"telephone_number": "917-536-3475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 DEFENSE HWY",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214018919",
"telephone_number": "410-684-3806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NISANOVA",
"first_name": "LINDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-23",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.