Active NPI
Mary F Quinn, CRNP
- Adult Health Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1073789350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R069409
- Practice address
- 22 S Greene St
Baltimore, MD 21201-1544 - Phone
- (410) 328-5793
- Fax
- (410) 328-0248
- NPI assigned
- May 6, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R069409 | MD | Primary |
Addresses
Primary practice location
22 S Greene St
Baltimore, MD 21201-1544
Mailing address
PO Box 630776
Baltimore, MD 21263-0776
Phone (410) 328-5793
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 414772300 | Medicaid | MD | |
| 930379-01 | Other | MD | CAREFIRST |
| S053-0062 | Other | MD | CAREFIRST-DC |
Other names 1
- Mary G Flanagan
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)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235347200000",
"number": "1073789350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 630776",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212630776",
"telephone_number": "410-328-5793",
"fax_number": "410-328-0248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S GREENE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011544",
"telephone_number": "410-328-5793",
"fax_number": "410-328-0248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINN",
"first_name": "MARY",
"middle_name": "F",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-06",
"last_updated": "2009-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MD",
"license": "R069409",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "414772300",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "930379-01",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST-DC",
"identifier": "S053-0062",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "FLANAGAN",
"middle_name": "G",
"credential": "CRNP",
"code": "1",
"type": "Former Name"
}
]
}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 Feb 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.