Active NPI
A1 in-Home Primary Care
- Family Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- A1 IN-HOME PRIMARY CARE
- Practice address
- 1120 N Charles St Ste 109
Baltimore, MD 21201-5592 - Phone
- (443) 345-6009
- Fax
- (877) 720-3447
- NPI assigned
- Jan 14, 2021
- Last updated
- Feb 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carol Edwards, CRNP, FNP-C
- Title
- Owner
- Phone
- (443) 345-6009
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary |
Addresses
Primary practice location
1120 N Charles St Ste 109
Baltimore, MD 21201-5592
Mailing address
1120 N Charles St Ste 109
Baltimore, MD 21201-5592
Phone (443) 345-6009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 598024100 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2212398 | A1 in-Home Primary Care, LLC | Certificate of waiver | Apr 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
8480 Baltimore National Pike
Ste 3210153
Ellicott City, MD 21043
435 Eastern Blvd
Ste A
Essex, MD 21221
Phone (443) 345-6008
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Baltimore, MD
- NPI 1013576560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738540800000",
"number": "1114516176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 N CHARLES ST STE 109",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212015592",
"telephone_number": "443-345-6009",
"fax_number": "877-720-3447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 N CHARLES ST STE 109",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212015592",
"telephone_number": "443-345-6009",
"fax_number": "877-720-3447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A1 IN-HOME PRIMARY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-14",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "CAROL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "443-345-6009",
"authorized_official_credential": "CRNP, FNP-C"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "598024100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.