Individual provider Active NPI

Phylicia Anne Frieda Nlend, PA

  • Physician Assistant
  • Annapolis, MD
National Provider Identifier
1093346124
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C07392 Issued in MD
Practice address
600 Ridgely Ave Ste 222
Annapolis, MD 21401-1073
Phone
(410) 266-8049
NPI assigned
Jan 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X C07392 MD Primary

Addresses

Primary practice location

600 Ridgely Ave Ste 222
Annapolis, MD 21401-1073

Mailing address

600 Ridgely Ave Ste 130
Annapolis, MD 21401-1045
Phone (410) 266-8049

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
I20211101000276 MD Practitioner - Physician Assistant 0446648075 Reassigns benefits to 1 organization
I20211108000434 DC Practitioner - Physician Assistant 0446648075 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C07392MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Arundel Urology, PA CurrentSince Aug 3, 2021 Accepting new patients

Locations

600 Ridgely Ave
Ste 222223
Annapolis, MD 21401
Phone (410) 266-0895

600 Ridgely Ave
Ste 222
Annapolis, MD 21401
Phone (410) 266-9966

600 Ridgely Ave
Ste 130
Annapolis, MD 21401
Phone 4102668049157

4201 Northview Dr
Ste 201
Bowie, MD 20716
Phone (240) 544-4070

Interoperability endpoints

  • Direct secure messaging: pnlend678899@direct.umm.edu

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": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1093346124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 RIDGELY AVE STE 130",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011045",
            "telephone_number": "410-266-8049",
            "fax_number": "410-266-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 RIDGELY AVE STE 222",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011073",
            "telephone_number": "410-266-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NLEND",
        "first_name": "PHYLICIA",
        "middle_name": "ANNE FRIEDA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C07392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.