Individual provider Active NPI

Alicia Antell Patrick, CNA, MA, PTA, CMT

  • Home Health Aide
  • Glen Burnie, MD
National Provider Identifier
1285229575
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
A00111509 Issued in MD
Practice address
7142 Baltimore Annapolis Blvd Apt B
Glen Burnie, MD 21061-2002
Phone
(443) 822-5296
NPI assigned
Mar 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X A00111509 MD Primary

Addresses

Primary practice location

7142 Baltimore Annapolis Blvd Apt B
Glen Burnie, MD 21061-2002

Mailing address

7142 Baltimore Annapolis Blvd Apt B
Glen Burnie, MD 21061-2002
Phone (443) 822-5296

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
A00111509MDMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Family Golden Age Facility, LLC. Home Health Aide Current Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1285229575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7142 BALTIMORE ANNAPOLIS BLVD APT B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612002",
            "telephone_number": "443-822-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7142 BALTIMORE ANNAPOLIS BLVD APT B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612002",
            "telephone_number": "443-822-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "ALICIA",
        "middle_name": "ANTELL",
        "credential": "CNA, MA, PTA, CMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MD",
            "license": "A00111509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.