Individual provider Active NPI

Rebecca Ann Holub, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Timonium, MD
National Provider Identifier
1073183398
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R179245 Issued in MD
Practice address
15 W Aylesbury Rd Ste 600
Timonium, MD 21093-4168
Phone
(410) 575-1200
NPI assigned
Jun 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R179245 MD Primary

Addresses

Primary practice location

15 W Aylesbury Rd Ste 600
Timonium, MD 21093-4168

Mailing address

2019 Crescent Moon CT
Woodstock, MD 21163-1505
Phone (410) 703-7918

Other practice location 1

7501 Osler Dr
Towson, MD 21204-7733
Phone (410) 427-5585

Other names 1

  • Rebecca Ann Cohen Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211124001227 MD Practitioner - Nurse Practitioner 5890185342 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R179245MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Nov 15, 2021 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Nov 15, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

7501 Osler Dr
Towson, MD 21204
Phone (410) 328-5795

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

Organizations & group practices 3

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": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1073183398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 CRESCENT MOON CT",
            "city": "WOODSTOCK",
            "state": "MD",
            "postal_code": "211631505",
            "telephone_number": "410-703-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W AYLESBURY RD STE 600",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210934168",
            "telephone_number": "410-575-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7501 Osler Dr",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212047733",
            "country_code": "US",
            "telephone_number": "410-427-5585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLUB",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R179245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "COHEN",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Timonium, MD

Sources for this page

Verify at the official NPI Registry.