Active NPI
Theresa Ann Nameth
- Family Nurse Practitioner
- Glen Burnie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11128-33
- Practice address
- 301 Hospital Dr
Glen Burnie, MD 21061-5803 - Phone
- (904) 372-3943
- Fax
- (904) 212-1618
- NPI assigned
- Aug 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11128-33 | WI | Primary |
| Nurse Practitioner | 363L00000X | AC007413 | MD |
Addresses
Primary practice location
301 Hospital Dr
Glen Burnie, MD 21061-5803
Mailing address
7751 Belfort Pkwy Ste 120
Jacksonville, FL 32256-6921
Phone (904) 372-3943
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1307 Merritt Blvd
Dundalk, MD 21222-2109
Phone (410) 288-2121
1354 Eastern Blvd
Expresscare of Essex
Essex, MD 21221-3423
Phone (443) 231-5203
1505 E Churchville Rd
Bel Air, MD 21014-4742
153 Ritchie Hwy
Severna Park, MD 21146-1116
Phone (410) 554-0571
2401 E Belvedere Ave
Baltimore, MD 21215-5216
3815 Wilkens Ave
Expresscare of Wilkens
Baltimore, MD 21229-5036
Phone (667) 212-5920
4009 N Point Blvd
105 Expresscare of North Point
Dundalk, MD 21222-3619
Phone (410) 477-1039
4900 Beaver Run CT
Ellicott City, MD 21043-7917
Phone (443) 542-9630
7566 Ridge Rd
Hanover, MD 21076-1373
Phone (410) 904-5910
7700 Belair Rd
Baltimore, MD 21236-4004
Phone (410) 665-0670
885 State Route 3 N
Expresscare of Gambrills
Gambrills, MD 21054-1620
Phone (443) 302-2297
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC007413 | MD | MD | Nurse Practitioner |
| 11128-33 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MNR Industries, LLC | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee Inc | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Midwest Critical Care SC | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients | |
| Ascension Medical Group-Southeast Wisconsin Inc | Nurse Practitioner | Current | Accepting new patients |
| MNR Industries LLC | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients |
Locations
1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970
1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970
6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330
504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
19475 W North Ave
Ste 305
Brookfield, WI 53045
Phone (262) 780-4070
19475 W North Ave
Brookfield, WI 53045
Phone (262) 780-4000
6400 Industrial Loop
Greendale, WI 53129
Phone (414) 423-4100
2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932
5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089
1320 Wisconsin Ave
Racine, WI 53403
Phone (262) 687-2222
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600
Organizations & group practices 11
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.
-
- Urgent Care Clinic/Center
- Bel Air, MD
- NPI 1457478703
-
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
Nurse Practitioner
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
-
- Critical Care Medicine (Internal Medicine) Physician
- Mount Pleasant, WI
- NPI 1093425647
-
- Endocrinology, Diabetes & Metabolism Physician
- Bethpage, NY
- NPI 1013461193
DC, MD
-
- Urgent Care Clinic/Center
- Mount Airy, MD
- NPI 1073963146
-
- Urgent Care Clinic/Center
- Westminster, MD
- NPI 1093042012
-
- Urgent Care Clinic/Center
- Bel Air, MD
- NPI 1649089418
-
- Psychiatric Hospital Unit
- Mequon, WI
- NPI 1417600909
-
- Multi-Specialty Clinic/Center
- Glendale, WI
- NPI 1215945456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777852800000",
"number": "1316612245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7751 BELFORT PKWY STE 120",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322566921",
"telephone_number": "904-372-3943",
"fax_number": "904-212-1618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 HOSPITAL DR",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210615803",
"telephone_number": "904-372-3943",
"fax_number": "904-212-1618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAMETH",
"first_name": "THERESA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-12",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "11128-33",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "AC007413",
"primary": false
}
],
"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 May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.