Camelle Redding, CRNP,LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

R133694 Issued in MD

Legal business name

CAMELLE REDDING, CRNP,LLC

Practice address

9902 Linden Hill Rd Ste B
Owings Mills, MD 21117-6152

Phone

(443) 776-2583

Fax

(347) 851-8731

NPI assigned

Oct 5, 2016

Organization subpart

No

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

Authorized official

Name

Camelle Stacian Redding, CRNP

Title

Owner

Phone

(443) 829-1530

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1174073910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9902 LINDEN HILL RD",
            "address_2": "SUITE B",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176152",
            "telephone_number": "443-829-1530",
            "fax_number": "410-581-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9902 LINDEN HILL RD STE B",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176152",
            "telephone_number": "443-776-2583",
            "fax_number": "347-851-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELLE REDDING, CRNP,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "REDDING",
        "authorized_official_first_name": "CAMELLE",
        "authorized_official_middle_name": "STACIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-829-1530",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "R133694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1326335829",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.