Active NPI
Jennifer K Mogle, RN-BC
- Psychiatric/Mental Health Registered Nurse
- Cumberland, MD
National Provider Identifier
1225375660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- R166401
- Practice address
- 12503 Willowbrook Rd
Cumberland, MD 21502-2554 - Phone
- (301) 759-5280
- Fax
- (301) 777-5630
- NPI assigned
- Jan 4, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | R166401 | MD | Primary |
Addresses
Primary practice location
12503 Willowbrook Rd
Cumberland, MD 21502-2554
Mailing address
12503 Willowbrook Rd
P. O. Box 1745
Cumberland, MD 21502-2554
Phone (301) 759-5280
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
| License | State | Type | Specialty |
|---|---|---|---|
| R166401 | MD | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357257600000",
"number": "1225375660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12503 WILLOWBROOK RD",
"address_2": "P. O. BOX 1745",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215022554",
"telephone_number": "301-759-5280",
"fax_number": "301-777-5630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12503 WILLOWBROOK RD",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215022554",
"telephone_number": "301-759-5280",
"fax_number": "301-777-5630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOGLE",
"first_name": "JENNIFER",
"middle_name": "K",
"credential": "RN-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-04",
"last_updated": "2013-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "MD",
"license": "R166401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cumberland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.