Active NPI
Dabington Taylor
- Adult Psychiatric/Mental Health Registered Nurse
- Jessup, MD
National Provider Identifier
1114695004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- R192553
- Practice address
- 7555 Waterloo Rd
Jessup, MD 20794-9783 - Phone
- (410) 799-3400
- NPI assigned
- Sep 3, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | R192553 | MD | Primary |
Addresses
Primary practice location
7555 Waterloo Rd
Jessup, MD 20794-9783
Mailing address
9102 Bealls Fam Road
Frederick, MD 21704
Phone (301) 801-5703
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R192553 | MD | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630627200000",
"number": "1114695004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9102 BEALLS FAM ROAD",
"city": "FREDERICK",
"state": "MD",
"postal_code": "21704",
"telephone_number": "301-801-5703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7555 WATERLOO RD",
"city": "JESSUP",
"state": "MD",
"postal_code": "207949783",
"telephone_number": "410-799-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "DABINGTON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-03",
"last_updated": "2021-09-03",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "MD",
"license": "R192553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jessup, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.