Individual provider Active NPI

Iesha Haughton

  • Family Nurse Practitioner
  • Glen Burnie, MD
National Provider Identifier
1134089865
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R239391 Issued in MD
Practice address
7095 Baltimore Annapolis Blvd
Glen Burnie, MD 21061-1431
Phone
(410) 859-3113
Fax
(410) 859-1006
NPI assigned
Nov 14, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R239391 MD Primary

Addresses

Primary practice location

7095 Baltimore Annapolis Blvd
Glen Burnie, MD 21061-1431

Mailing address

7095 Baltimore Annapolis Blvd
Glen Burnie, MD 21061-1431
Phone (410) 859-3113

Other practice location 1

8957 Edmonston Rd Ste P
Greenbelt, MD 20770-4048
Phone (410) 696-1989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260617000156 MD Practitioner - Nurse Practitioner 7113499591 Reassigns benefits to 2 organizations
I20260617000426 DC Practitioner - Nurse Practitioner 7113499591 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

2601 Riva Rd
Annapolis, MD 21401-7304
Phone (866) 389-2727

7095 Baltimore Annapolis Blvd
Glen Burnie, MD 21061-1431
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R239391MDMDFamily Nurse Practitioner

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1763078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1134089865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7095 BALTIMORE ANNAPOLIS BLVD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210611431",
            "telephone_number": "410-859-3113",
            "fax_number": "410-859-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7095 BALTIMORE ANNAPOLIS BLVD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210611431",
            "telephone_number": "410-859-3113",
            "fax_number": "410-859-1006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8957 Edmonston Rd Ste P",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "207704048",
            "country_code": "US",
            "telephone_number": "410-696-1989",
            "fax_number": "301-345-1540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAUGHTON",
        "first_name": "IESHA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-11-14",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R239391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.