Individual provider Active NPI

Lourdes Claire De Las Alas

  • Family Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1285246272
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R185900 Issued in MD
Practice address
6005 Shepherd SQ
Columbia, MD 21044-3114
Phone
(443) 804-1522
NPI assigned
Aug 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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 R185900 MD Primary

Addresses

Primary practice location

6005 Shepherd SQ
Columbia, MD 21044-3114

Mailing address

6005 Shepherd SQ
Columbia, MD 21044-3114
Phone (443) 804-1522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201231000341 MD Practitioner - Nurse Practitioner 5890108369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Physician Care, LLCGroup PAC ID 3274683289, 13 clinicians

Practice addresses (Care Compare)

6334 Cedar LN
Suite 103
Columbia, MD 21044-4172
Phone (410) 531-2355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R185900MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Physician Care, LLC CurrentSince Dec 1, 2020 Accepting new patients

Locations

6334 Cedar Ln
Ste 103
Columbia, MD 21044
Phone (410) 531-2355

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": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1285246272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 SHEPHERD SQ",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443114",
            "telephone_number": "443-804-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 SHEPHERD SQ",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443114",
            "telephone_number": "443-804-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LAS ALAS",
        "first_name": "LOURDES",
        "middle_name": "CLAIRE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R185900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.