Individual provider Active NPI

Mary Healy Shiner, R.N., M.S., C.P.N.P.

  • Pediatric Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1326246661
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R053821 Issued in MD
Practice address
1740 Twin Springs Rd
Baltimore, MD 21227-3526
Phone
(410) 887-4456
Fax
(410) 887-4456
NPI assigned
Jul 9, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X R053821 MD Primary

Addresses

Primary practice location

1740 Twin Springs Rd
Baltimore, MD 21227-3526

Mailing address

1021 Cold Spring Rd
Baltimore, MD 21220-4425
Phone (410) 335-2607

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)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner, Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R053821MDMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1183939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1326246661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 COLD SPRING RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212204425",
            "telephone_number": "410-335-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 TWIN SPRINGS RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212273526",
            "telephone_number": "410-887-4456",
            "fax_number": "410-887-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINER",
        "first_name": "MARY",
        "middle_name": "HEALY",
        "name_prefix": "Ms.",
        "credential": "R.N., M.S., C.P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R053821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.