Active NPI
Lauren A Timpson, P.A.-C.
- Physician Assistant
- Glen Burnie, MD
National Provider Identifier
1093859340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C00581
- Practice address
- 1600 Crain Hwy S
Suite 301
Glen Burnie, MD 21061-5577 - Phone
- (410) 787-8315
- Fax
- (410) 787-8316
- NPI assigned
- Feb 19, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C00581 | MD | Primary |
Addresses
Primary practice location
1600 Crain Hwy S
Suite 301
Glen Burnie, MD 21061-5577
Mailing address
11350 McCormick Rd
Executive Plaza I, Suite 501
Hunt Valley, MD 21031-1002
Phone (410) 787-8315
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C00581 | MD | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443052800000",
"number": "1093859340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11350 MCCORMICK RD",
"address_2": "EXECUTIVE PLAZA I, SUITE 501",
"city": "HUNT VALLEY",
"state": "MD",
"postal_code": "210311002",
"telephone_number": "410-787-8315",
"fax_number": "410-787-8316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 CRAIN HWY S",
"address_2": "SUITE 301",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210615577",
"telephone_number": "410-787-8315",
"fax_number": "410-787-8316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMPSON",
"first_name": "LAUREN",
"middle_name": "A",
"credential": "P.A.-C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2015-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C00581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.