Jeanette Daly, ADULT NURSE PRACTITI

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R123444 Issued in MD

Practice address

3601 Odonnell STR
Elder Health
Baltimore, MD 21224

Phone

(410) 864-4500

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Jeanette Capkovic Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164555991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 OLMSTEAD RD",
            "city": "PIKESVILLE",
            "state": "MA",
            "postal_code": "21208",
            "telephone_number": "410-580-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 ODONNELL STR",
            "address_2": "ELDER HEALTH",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21224",
            "telephone_number": "410-864-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALY",
        "first_name": "JEANETTE",
        "name_prefix": "Mrs.",
        "credential": "ADULT NURSE PRACTITI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R123444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANETTE",
            "last_name": "CAPKOVIC",
            "prefix": "MISS",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amy Daly, MS
• Barry D Daly, MD
• Christina Daly, LCSW-C
• Christine Anna Daly, CRNP
• Emily Rose Daly, MD
• Mel P Daly, M.D.
• Rachele Daly
• Rebecca Daly
• Sara K Daly, LCSW-C
• Mahendra Damarla, M.D.

• Adult Health Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Adult Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.