Individual provider Active NPI

Abey Pappanal, CRNP

  • Family Nurse Practitioner
  • Rosedale, MD
National Provider Identifier
1265172589
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R179819 Issued in MD
Practice address
1232 Race Road
Ste 403
Rosedale, MD 21237-3710
Phone
(443) 868-7101
Fax
(443) 732-0054
NPI assigned
Apr 1, 2022
Last updated
Apr 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R179819 MD Primary

Addresses

Primary practice location

1232 Race Road
Ste 403
Rosedale, MD 21237-3710

Mailing address

1232 Race Road
Ste 403
Rosedale, MD 21237-3710
Phone (443) 868-7101

Other practice location 1

9508 Frederick Rd
Ellicott City, MD 21042-3710
Phone (410) 660-7757

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R179819MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Viewpoint Wellness LLC CurrentSince Apr 17, 2022 Accepting new patients
Post Acute Health Care Services LLC Past Accepting new patients

Locations

1051 Brightseat Rd
Landover, MD 20785
Phone (240) 487-4400

299 Hurley Ave
Rockville, MD 20850
Phone (301) 762-8900

1232 Race Rd
Ste 403
Rosedale, MD 21237
Phone (480) 878-7806

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1265172589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 RACE ROAD",
            "address_2": "STE 403",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373710",
            "telephone_number": "443-868-7101",
            "fax_number": "443-732-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 RACE ROAD",
            "address_2": "STE 403",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373710",
            "telephone_number": "443-868-7101",
            "fax_number": "443-732-0054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9508 Frederick Rd",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210423710",
            "country_code": "US",
            "telephone_number": "410-660-7757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPPANAL",
        "first_name": "ABEY",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R179819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.