Individual provider Active NPI

Jillian Parker Owens, APRN, FNP-C

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1144822529
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R165407 Issued in MD
Practice address
1245 Eastern Blvd
Baltimore, MD 21221-3422
Phone
(410) 558-4700
NPI assigned
Nov 11, 2020
Last updated
Mar 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R165407 MD Primary
Family Nurse Practitioner 363LF0000X 95015860 CA

Addresses

Primary practice location

1245 Eastern Blvd
Baltimore, MD 21221-3422

Mailing address

3501 Sinclair LN
Baltimore, MD 21213-2029
Phone (410) 732-8800

Other practice location 1

1850 Spring Ridge Dr
Susanville, CA 96130-6100
Phone (443) 562-2906

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
I20220411000535 MD Practitioner - Nurse Practitioner 1759795412 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Umms Ambulatory Care LLC Current Accepting new patients
Umms Ambulatory Care LLC CurrentSince Apr 4, 2022 Accepting new patients
Umms Ambulatory Care LLC CurrentSince Apr 4, 2022 Accepting new patients

Locations

8 Denton Plz
Denton, MD 21629
Phone (443) 606-2300

1730 Merritt Blvd
Dundalk, MD 21222
Phone (410) 282-2756

28522 Marlboro Ave
#C
Easton, MD 21601
Phone (443) 746-0086

Interoperability endpoints

  • Direct secure messaging: jillian.owens.p1@direct.bmsi.nextgenshare.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1144822529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 SINCLAIR LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212132029",
            "telephone_number": "410-732-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 EASTERN BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212213422",
            "telephone_number": "410-558-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 Spring Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Susanville",
            "state": "CA",
            "postal_code": "961306100",
            "country_code": "US",
            "telephone_number": "443-562-2906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "JILLIAN",
        "middle_name": "PARKER",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R165407",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95015860",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.