Active NPI
Mark Allen Nagle, RN
- Nursing Home Administrator
- Ocean City, MD
National Provider Identifier
1184922361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Home Administrator
- License
- R119069
- Practice address
- 401 15TH St Unit 6
Ocean City, MD 21842-5526 - Phone
- (443) 413-8942
- NPI assigned
- Mar 11, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nursing Home Administrator | 376G00000X | R119069 | MD | Primary |
Addresses
Primary practice location
401 15TH St Unit 6
Ocean City, MD 21842-5526
Mailing address
401 15TH St Unit 6
Ocean City, MD 21842-5526
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
| License | State | Type | Specialty |
|---|---|---|---|
| R119069 | MD | MD | Nursing Home Administrator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299801600000",
"number": "1184922361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 15TH ST UNIT 6",
"city": "OCEAN CITY",
"state": "MD",
"postal_code": "218425526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 15TH ST UNIT 6",
"city": "OCEAN CITY",
"state": "MD",
"postal_code": "218425526",
"telephone_number": "443-413-8942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGLE",
"first_name": "MARK",
"middle_name": "ALLEN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-11",
"last_updated": "2011-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": "MD",
"license": "R119069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocean City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.