NPIMap

Organization Active NPI

Faith Hackett, M.D.

  • Pediatric Adolescent Medicine Physician
  • Severna Park, MD
National Provider Identifier
1336307032
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
D32426 Issued in MD
Legal business name
FAITH HACKETT, M.D.
Practice address
844 Ritchie Hwy
Suite 206
Severna Park, MD 21146-4127
Phone
(410) 647-8300
Fax
(410) 315-8444
NPI assigned
May 29, 2008
Last updated
May 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Faith Alice Hackett, M.D.NPI 1154393213
Title
Owner
Phone
(410) 647-8300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X D32426 MD Primary

Addresses

Primary practice location

844 Ritchie Hwy
Suite 206
Severna Park, MD 21146-4127

Mailing address

844 Ritchie Hwy
Suite 206
Severna Park, MD 21146-4127
Phone (410) 647-8300

Other identifiers 1

IdentifierTypeStateIssuer
408221400MedicaidMD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1336307032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 RITCHIE HWY",
            "address_2": "SUITE 206",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464127",
            "telephone_number": "410-647-8300",
            "fax_number": "410-315-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 RITCHIE HWY",
            "address_2": "SUITE 206",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464127",
            "telephone_number": "410-647-8300",
            "fax_number": "410-315-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HACKETT, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "HACKETT",
        "authorized_official_first_name": "FAITH",
        "authorized_official_middle_name": "ALICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-647-8300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MD",
            "license": "D32426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408221400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.