NPIMap

Organization Active NPI

Gratitude Medical Services LLC

  • Gerontology Nurse Practitioner
  • Perry Hall, MD
National Provider Identifier
1104492859
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
Legal business name
GRATITUDE MEDICAL SERVICES LLC
Practice address
4307 Silver Spring Rd
Perry Hall, MD 21128-9656
Phone
(410) 948-5355
NPI assigned
Jun 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Authorized official

Name
Irene W Njuguna, CRNPNPI 1255893061
Title
NP
Phone
(410) 948-5355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LG0600X Primary

Addresses

Primary practice location

4307 Silver Spring Rd
Perry Hall, MD 21128-9656

Mailing address

4307 Silver Spring Rd
Perry Hall, MD 21128-9656
Phone (410) 948-5355

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL irene@gratitudemedicalservices.com
CONNECT URL irene@gratitudemedicalservices.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1104492859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4307 SILVER SPRING RD",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211289656",
            "telephone_number": "410-948-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4307 SILVER SPRING RD",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211289656",
            "telephone_number": "410-948-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRATITUDE MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "NJUGUNA",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "410-948-5355",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "irene@gratitudemedicalservices.com",
            "affiliation": "N",
            "address_1": "4307 Silver Spring Rd",
            "city": "Perry Hall",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211289656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "irene@gratitudemedicalservices.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4307 Silver Spring Rd",
            "city": "Perry Hall",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211289656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Perry Hall, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.