Individual provider Active NPI

Peggy Ann Six, R.N., B.A.

  • Registered Nurse
  • Linthicum, MD
National Provider Identifier
1336367275
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R108133 Issued in MD
Practice address
415 Andover Rd
Linthicum, MD 21090-3000
Phone
(410) 691-4344
Fax
(410) 691-4359
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R108133 MD Primary

Addresses

Primary practice location

415 Andover Rd
Linthicum, MD 21090-3000

Mailing address

10110 Silver Twine
Columbia, MD 21046-1341
Phone (410) 913-8801

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
Bachelor of Arts, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R108133MDMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336367275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 SILVER TWINE",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461341",
            "telephone_number": "410-913-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 ANDOVER RD",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210903000",
            "telephone_number": "410-691-4344",
            "fax_number": "410-691-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIX",
        "first_name": "PEGGY",
        "middle_name": "ANN",
        "credential": "R.N., B.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R108133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linthicum, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.