St Johns College Health Center

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R063769 Issued in MD

Legal business name

ST JOHNS COLLEGE HEALTH CENTER

Practice address

60 College Ave
Annapolis, MD 21401-1687

Phone

(410) 626-2553

NPI assigned

Apr 5, 2012

Organization subpart

No

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

Authorized official

Name

James Irungu

Title

Credentialing Manager

Phone

(877) 614-5227

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nancy Agnes Calabrese, CRNP

  • School Nurse Practitioner
  • Annapolis, MD
  • NPI 1659490258
  NPD (past)

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1295091015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 COLLEGE AVE",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011687",
            "telephone_number": "410-626-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 COLLEGE AVE",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011687",
            "telephone_number": "410-626-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHNS COLLEGE HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-05",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "IRUNGU",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "877-614-5227"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R063769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sports Pro Physical Therapy East
• Emily J Sprague, OD
• Marla JB Spring, FNP-C MSN CDE
• Gaurav Srivastava, MD
• SSC Annapolis Operating Company LLC
• Alexa Lee St Laurent
• St Paul Place Specialists, Inc.
• St Paul Place Specialists, Inc.
• St Paul Place Specialists, Inc.
• St. Agnes Hospital

• Nurse Practitioner in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.