Individual provider Active NPI

Kathryn Eleanor Scallion, CRNP

  • Family Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1174037147
Registry record updated Jan 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R187339 Issued in MD
Practice address
6334 Cedar LN Ste 103
Columbia, MD 21044-3898
Phone
(410) 531-2355
NPI assigned
Nov 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2018

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 R187339 MD Primary

Addresses

Primary practice location

6334 Cedar LN Ste 103
Columbia, MD 21044-3898

Mailing address

6334 Cedar LN
Ste 103
Columbia, MD 21044-3898
Phone (443) 812-9804

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
I20180122001002 MD Practitioner - Nurse Practitioner 1456610476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Personal Physician Care, LLCGroup PAC ID 3274683289, 13 clinicians

Practice addresses (Care Compare)

6334 Cedar LN
Suite 103
Columbia, MD 21044-4172
Phone (410) 531-2355

Hospital & facility affiliations

  • Hospice of the Chesapeake, Inc. Hospice, Pasadena, MD, CCN 211509
  • Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R187339MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Physician Care, LLC CurrentSince Dec 5, 2017 Accepting new patients

Locations

6334 Cedar Ln
Ste 103
Columbia, MD 21044
Phone (410) 531-2355

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515024000000",
    "number": "1174037147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6334 CEDAR LN",
            "address_2": "STE 103",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443898",
            "telephone_number": "443-812-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6334 CEDAR LN STE 103",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443898",
            "telephone_number": "410-531-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALLION",
        "first_name": "KATHRYN",
        "middle_name": "ELEANOR",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-28",
        "last_updated": "2018-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R187339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.