Individual provider Active NPI

Martha Lebbie

  • Family Nurse Practitioner
  • Glen Burnie, MD
National Provider Identifier
1063241271
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R222450 Issued in MD
Practice address
7355 E Furnace Branch Rd
Glen Burnie, MD 21060-7060
Phone
(410) 766-3460
NPI assigned
Jul 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R222450 MD Primary

Addresses

Primary practice location

7355 E Furnace Branch Rd
Glen Burnie, MD 21060-7060

Mailing address

7355 E Furnace Branch Rd
Glen Burnie, MD 21060-7060
Phone (410) 766-3460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250411001105 MD Practitioner - Nurse Practitioner 9335663319 Reassigns benefits to 2 organizations
I20250519000622 DC Practitioner - Nurse Practitioner 9335663319 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PA Post Acute Services PC CurrentSince Mar 8, 2025 Accepting new patients
CNP Operating Co LLC CurrentSince Mar 8, 2025 Accepting new patients

Locations

2525 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 367-9100

9211 Stuart Ln
Clinton, MD 20735
Phone (301) 868-3600

105 Time Sq
Salisbury, MD 21801
Phone (410) 749-2474

2601 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 598-6000

6700 Columbia Pike
Annandale, VA 22003
Phone (703) 256-7000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1063241271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7355 E FURNACE BRANCH RD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210607060",
            "telephone_number": "410-766-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7355 E FURNACE BRANCH RD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210607060",
            "telephone_number": "410-766-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBBIE",
        "first_name": "MARTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R222450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.