Individual provider Active NPI

Laura Coryn Schanberger, CRNP

  • Primary Care Nurse Practitioner
  • Nottingham, MD
National Provider Identifier
1295399939
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
R211134 Issued in MD
Practice address
4924 Campbell Blvd Ste 200
Nottingham, MD 21236-5914
Phone
(443) 442-2300
NPI assigned
Apr 29, 2019
Last updated
Aug 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X R211134 MD Primary

Addresses

Primary practice location

4924 Campbell Blvd Ste 200
Nottingham, MD 21236-5914

Mailing address

2 Rainflower Path Unit 202
Sparks, MD 21152-8923
Phone (410) 371-3278

Other practice location 1

2 Rainflower Path Unit 202
Sparks, MD 21152-8923
Phone (410) 371-3278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191003000040 MD Practitioner - Nurse Practitioner 5395075469 Reassigns benefits to 1 organization
I20191003000069 DC Practitioner - Nurse Practitioner 5395075469 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R211134MDMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians, Inc CurrentSince Sep 3, 2019 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Sep 3, 2019 Accepting new patients
Johns Hopkins Community Physicians, Inc Current Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince Sep 3, 2019 Accepting new patients

Locations

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

4924 Campbell Blvd
Ste 200
Nottingham, MD 21236
Phone (443) 442-2300

9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412

Organizations & group practices 4

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": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1295399939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 RAINFLOWER PATH UNIT 202",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211528923",
            "telephone_number": "410-371-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4924 CAMPBELL BLVD STE 200",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212365914",
            "telephone_number": "443-442-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Rainflower Path Unit 202",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "MD",
            "postal_code": "211528923",
            "country_code": "US",
            "telephone_number": "410-371-3278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHANBERGER",
        "first_name": "LAURA",
        "middle_name": "CORYN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R211134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

Verify at the official NPI Registry.