Individual provider Active NPI

Laureen Ann Harkins, CRNP

  • Adult Health Nurse Practitioner
  • Gaithersburg, MD
National Provider Identifier
1205375524
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R089539 Issued in MD
Practice address
7 Metropolitan CT
Suite 1
Gaithersburg, MD 20878-4016
Phone
(240) 773-0300
Fax
(240) 773-0301
NPI assigned
Feb 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R089539 MD Primary
Primary Care Nurse Practitioner 363LP2300X R089539 MD

Addresses

Primary practice location

7 Metropolitan CT
Suite 1
Gaithersburg, MD 20878-4016

Mailing address

7 Metropolitan CT
Suite 1
Gaithersburg, MD 20878-4016
Phone (240) 773-0300

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

State licenses

LicenseStateTypeSpecialty
R089539MDMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1205375524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 METROPOLITAN CT",
            "address_2": "SUITE 1",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208784016",
            "telephone_number": "240-773-0300",
            "fax_number": "240-773-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 METROPOLITAN CT",
            "address_2": "SUITE 1",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208784016",
            "telephone_number": "240-773-0300",
            "fax_number": "240-773-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARKINS",
        "first_name": "LAUREEN",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R089539",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R089539",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.

Verify at the official NPI Registry.