Active NPI
Elizabeth Johle, CRNP
- Family Nurse Practitioner
- Annapolis, MD
National Provider Identifier
1164756433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R166630
- Practice address
- 2601 Riva Rd
Annapolis, MD 21401-7304 - Phone
- (612) 225-1538
- NPI assigned
- Sep 19, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R166630 | MD | Primary |
Addresses
Primary practice location
2601 Riva Rd
Annapolis, MD 21401-7304
Mailing address
2601 Riva Rd
Annapolis, MD 21401-7304
Phone (612) 225-1538
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305158400000",
"number": "1164756433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 RIVA RD",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017304",
"telephone_number": "612-225-1538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 RIVA RD",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017304",
"telephone_number": "612-225-1538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHLE",
"first_name": "ELIZABETH",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-19",
"last_updated": "2011-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R166630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.