Individual provider Active NPI

Alicia Lynn Mezu, RN, MSN/ED

  • Registered Nurse
  • Pikesville, MD
National Provider Identifier
1184850117
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R126920 Issued in MD
Practice address
4724 Hawksbury Rd
Pikesville, MD 21208-2128
Phone
(410) 655-7037
Fax
(410) 922-6749
NPI assigned
Jun 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R126920 MD Primary

Addresses

Primary practice location

4724 Hawksbury Rd
Pikesville, MD 21208-2128

Mailing address

4724 Hawksbury Rd
Pikesville, MD 21208-2128
Phone (410) 655-7037

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R126920MDMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1184850117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4724 HAWKSBURY RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212082128",
            "telephone_number": "410-655-7037",
            "fax_number": "410-922-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4724 HAWKSBURY RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212082128",
            "telephone_number": "410-655-7037",
            "fax_number": "410-922-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZU",
        "first_name": "ALICIA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN/ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-04",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R126920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.