NPIMap

Organization Active NPI

Mobile NP LLC

  • Adult Health Nurse Practitioner
  • Randallstown, MD
National Provider Identifier
1326527094
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R158140 Issued in MD
Legal business name
MOBILE NP LLC
Practice address
3927 McDonogh Road
Randallstown, MD 21133-3633
Phone
(443) 803-9552
Fax
(443) 327-4601
NPI assigned
Aug 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Authorized official

Name
Veronica Annette Holland-Barner, NURSE PRACTITIONERNPI 1437133873
Title
Ceo/Owner
Phone
(443) 803-9552

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LA2200X R158140 MD Primary

Addresses

Primary practice location

3927 McDonogh Road
Randallstown, MD 21133-3633

Mailing address

3927 McDonogh Road
Randallstown, MD 21133-3633
Phone (443) 803-9552

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534118400000",
    "number": "1326527094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3927 MCDONOGH ROAD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211333633",
            "telephone_number": "443-803-9552",
            "fax_number": "443-327-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3927 MCDONOGH ROAD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211333633",
            "telephone_number": "443-803-9552",
            "fax_number": "443-327-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE NP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A",
        "authorized_official_last_name": "HOLLAND-BARNER",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "443-803-9552",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R158140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randallstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.