Union Hospital of Cecil County
Organization Active NPI Nutrition Education Nutritionist · Elkton, MD
NPI 1215217682 · NPPES record last updated Apr 14, 2023
Key facts
- NPI
- 1215217682
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nutrition Education Nutritionist 133NN1002X
- Legal business name
- UNION HOSPITAL OF CECIL COUNTY
- Practice address
- 137 W High St
Suite 1B
Elkton, MD 21921-8604 - Phone
- (410) 620-3548
- NPI assigned
- Aug 17, 2011
- Organization subpart
- No
Authorized official
- Name
- Judy Tyler Reisen, MD
- Title
- Corporate Director of Revenue Cycle
- Phone
- (410) 398-4000
Member of 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist |
133NN1002X | Yes |
Addresses
Primary practice location
137 W High St
Suite 1B
Elkton, MD 21921-8604
Mailing address
677 E Pulaski Hwy
Suite B
Elkton, MD 21921-6037
Other names
- Union Nutrition Services
NPI Registry JSON
{
"created_epoch": "1313539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681430400000",
"number": "1215217682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "677 E PULASKI HWY",
"address_2": "SUITE B",
"city": "ELKTON",
"state": "MD",
"postal_code": "219216037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 W HIGH ST",
"address_2": "SUITE 1B",
"city": "ELKTON",
"state": "MD",
"postal_code": "219218604",
"telephone_number": "410-620-3548"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNION HOSPITAL OF CECIL COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-17",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A",
"authorized_official_last_name": "REISEN",
"authorized_official_first_name": "JUDY",
"authorized_official_middle_name": "TYLER",
"authorized_official_title_or_position": "CORPORATE DIRECTOR OF REVENUE CYCLE",
"authorized_official_telephone_number": "410-398-4000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Union Nutrition Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elkton, MD
- Union Hospital of Cecil County
- Union Hospital of Cecil County
- Union Hospital of Cecil County
- Union Hospital of Cecil County
- Union Hospital of Cecil County
- Union Hospital of Cecil County
- Union Hospital of Cecil County
- Union Hospital of Cecil County
- Union Hospital of Cecil County
- Union Hospital of Cecil County
All providers in Elkton, MD · Nutrition Education Nutritionist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.