Individual provider Active NPI

Alex Jacob Allender

  • Student in an Organized Health Care Education/Training Program
  • Ellicott City, MD
National Provider Identifier
1073214854
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
9501 Old Annapolis Rd Ste 125
Ellicott City, MD 21042-6355
Phone
(410) 997-1063
NPI assigned
Mar 17, 2023
Last updated
Mar 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

9501 Old Annapolis Rd Ste 125
Ellicott City, MD 21042-6355

Mailing address

39 Mapledale Ave
Glen Burnie, MD 21061-1959
Phone (410) 507-8944

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

Practice roles

OrganizationSpecialtyStatusNew patients
National Rehabilitation Hospital, Inc. CurrentSince Dec 31, 2023 Accepting new patients
National Rehabilitation Hospital, Inc. PastSince Mar 19, 2023 Accepting new patients

Locations

9501 Old Annapolis Rd
Ste 125
Ellicott City, MD 21042
Phone (410) 997-1063

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1073214854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 MAPLEDALE AVE",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210611959",
            "telephone_number": "410-507-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 OLD ANNAPOLIS RD STE 125",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426355",
            "telephone_number": "410-997-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLENDER",
        "first_name": "ALEX",
        "middle_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.