Active NPI
Barbara Rogers, CRNA
- Certified Registered Nurse Anesthetist
- Towson, MD
National Provider Identifier
1184670523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R078973
- Practice address
- 1122 Kenilworth Dr
Suite 317
Towson, MD 21204-2139 - Phone
- (410) 296-4616
- Fax
- (410) 337-5068
- NPI assigned
- May 26, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN358481L | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | R078973 | MD | Primary |
Addresses
Primary practice location
1122 Kenilworth Dr
Suite 317
Towson, MD 21204-2139
Mailing address
1122 Kenilworth Drive
Suite 317
Towson, MD 21204-2146
Phone (410) 296-4616
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01312471 | Other | PA | RAILROAD MEDICARE |
| 101572VKC | Other | PA | NOVITAS MEDICARE |
| 101621261 | Medicaid | PA | |
| 553301500 | Medicaid | MD | |
| 572480ZCXJ | Other | MD | NOVITAS MEDICARE |
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
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R078973 | MD | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496361600000",
"number": "1184670523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 KENILWORTH DRIVE",
"address_2": "SUITE 317",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042146",
"telephone_number": "410-296-4616",
"fax_number": "410-337-5068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 KENILWORTH DR",
"address_2": "SUITE 317",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042139",
"telephone_number": "410-296-4616",
"fax_number": "410-337-5068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "BARBARA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2017-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN358481L",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MD",
"license": "R078973",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01312471",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOVITAS MEDICARE",
"identifier": "101572VKC",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101621261",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "553301500",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOVITAS MEDICARE",
"identifier": "572480ZCXJ",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.