Individual provider Active NPI

Theresa Ann Nameth

  • Family Nurse Practitioner
  • Glen Burnie, MD
National Provider Identifier
1316612245
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11128-33 Issued in WI
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

Updated by the provider on May 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20211129001981 WI Practitioner - Nurse Practitioner 3577953900 Reassigns benefits to 3 organizations
I20250909002826 MD Practitioner - Nurse Practitioner 3577953900 Reassigns benefits to 2 organizations
I20250910002181 DC Practitioner - Nurse Practitioner 3577953900 Reassigns benefits to 2 organizations

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
MNR Industries, LLCGroup PAC ID 7416908843, 142 clinicians

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

LicenseStateTypeSpecialty
AC007413MDMDNurse Practitioner
11128-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MNR Industries, LLC CurrentSince Sep 1, 2025 Accepting new patients
MNR Industries, LLC CurrentSince Sep 1, 2025 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc CurrentSince Oct 18, 2021 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Oct 18, 2021 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc Current Accepting new patients
Midwest Critical Care SC CurrentSince Jun 1, 2023 Accepting new patients
MNR Industries, LLC Current Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Nurse Practitioner CurrentSince Jun 7, 2024 Accepting new patients
MNR Industries LLC Current Accepting new patients
MNR Industries, LLC CurrentSince Sep 1, 2025 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.

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

Verify at the official NPI Registry.