Individual provider Active NPI

Mercy Maxine Kanno

  • Psychiatric/Mental Health Nurse Practitioner
  • Parkville, MD
National Provider Identifier
1134838006
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R142815 Issued in MD
Practice address
8720 Emge Rd
Parkville, MD 21234-3504
Phone
(410) 668-1961
NPI assigned
Nov 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R142815 MD Primary

Addresses

Primary practice location

8720 Emge Rd
Parkville, MD 21234-3504

Mailing address

5208 Scenic Dr
Perry Hall, MD 21128-8940
Phone (443) 858-8751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240718001201 MD Practitioner - Nurse Practitioner 5496291114 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Temah Healthcare Services, LLC CurrentSince May 6, 2024 Accepting new patients

Locations

50 Scott Adam Rd
Ste 204
Cockeysville, MD 21030
Phone (410) 521-8000

Organizations & group practices 1

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": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1134838006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5208 SCENIC DR",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211288940",
            "telephone_number": "443-858-8751",
            "fax_number": "410-256-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 EMGE RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212343504",
            "telephone_number": "410-668-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNO",
        "first_name": "MERCY",
        "middle_name": "MAXINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R142815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

Verify at the official NPI Registry.