Active NPI
Stephanie Nagle Emmens
- Audiologist
- Towson, MD
National Provider Identifier
1104184977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1088
- Practice address
- 8000 York Rd
Lower Level
Towson, MD 21252-0001 - Phone
- (410) 704-3095
- Fax
- (410) 704-6303
- NPI assigned
- Apr 30, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 01223 | MD | |
| Audiologist | 231H00000X | 1088 | MA | Primary |
Addresses
Primary practice location
8000 York Rd
Lower Level
Towson, MD 21252-0001
Mailing address
271 Carew St
Lower Level
Springfield, MA 01104-2377
Phone (413) 748-6840
Other names 1
- Stephanie Nagle
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1088 | MA | MD | Audiologist |
| 01223 | MD | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455667200000",
"number": "1104184977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 CAREW ST",
"address_2": "LOWER LEVEL",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011042377",
"telephone_number": "413-748-6840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 YORK RD",
"address_2": "LOWER LEVEL",
"city": "TOWSON",
"state": "MD",
"postal_code": "212520001",
"telephone_number": "410-704-3095",
"fax_number": "410-704-6303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGLE EMMENS",
"first_name": "STEPHANIE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-30",
"last_updated": "2016-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MD",
"license": "01223",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "1088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "NAGLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.