Individual provider Active NPI

Luz J Correa-Cashdollar, R.N.

  • Psychiatric/Mental Health Registered Nurse
  • Reisterstown, MD
National Provider Identifier
1295794550
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
R116705 Issued in MD
Practice address
219 Main St
Reisterstown, MD 21136-1213
Phone
(410) 833-0581
Fax
(410) 833-8604
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X R116705 MD Primary

Addresses

Primary practice location

219 Main St
Reisterstown, MD 21136-1213

Mailing address

219 Main St
Reisterstown, MD 21136-1213
Phone (410) 833-0581

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R116705MDMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Behavioral Health Center, LLC CurrentSince Feb 1, 2006 Accepting new patients
Emerald Health Center, Inc CurrentSince Aug 1, 1995 Accepting new patients
Global Health Services, Inc-PRP Past Accepting new patients
Global Health Services Inc-Omhc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1295794550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 MAIN ST",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361213",
            "telephone_number": "410-833-0581",
            "fax_number": "410-833-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 MAIN ST",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361213",
            "telephone_number": "410-833-0581",
            "fax_number": "410-833-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA-CASHDOLLAR",
        "first_name": "LUZ",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R116705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reisterstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.