Active NPI
Beatrice Flynn
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Fulton, MD
National Provider Identifier
1245668151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- R035610
- Practice address
- 7625 Maple Lawn Blvd Ste 145
Fulton, MD 20759-2565 - Phone
- (410) 241-6594
- NPI assigned
- Oct 31, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | R035610 | MD | Primary |
Addresses
Primary practice location
7625 Maple Lawn Blvd Ste 145
Fulton, MD 20759-2565
Mailing address
7625 Maple Lawn Blvd Ste 145
Fulton, MD 20759-2565
Phone (410) 241-6594
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 |
|---|---|---|---|
| R035610 | MD | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383177600000",
"number": "1245668151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7625 MAPLE LAWN BLVD STE 145",
"city": "FULTON",
"state": "MD",
"postal_code": "207592565",
"telephone_number": "410-241-6594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7625 MAPLE LAWN BLVD STE 145",
"city": "FULTON",
"state": "MD",
"postal_code": "207592565",
"telephone_number": "410-241-6594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "BEATRICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-31",
"last_updated": "2013-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "MD",
"license": "R035610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fulton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.