Individual provider Active NPI

Linda Ngameduru

  • Family Nurse Practitioner
  • Reisterstown, MD
National Provider Identifier
1346637394
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R158706 Issued in MD
Practice address
11917 Reisterstown Rd
Reisterstown, MD 21136-3030
Phone
(410) 833-0183
NPI assigned
Apr 16, 2015
Last updated
Apr 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R158706 MD Primary

Addresses

Primary practice location

11917 Reisterstown Rd
Reisterstown, MD 21136-3030

Mailing address

11917 Reisterstown Rd
Reisterstown, MD 21136-3030
Phone (410) 833-0183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20151229002118 MD Practitioner - Nurse Practitioner 1951602440 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R158706MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Absolutecare of Baltimore, LLC CurrentSince May 25, 2024 Accepting new patients

Locations

2140 Peachtree Rd NW
Ste 232
Atlanta, GA 30309
Phone (888) 708-0561

1040 Park Ave
Ste 200
Baltimore, MD 21201
Phone (443) 738-0300

10175 Little Patuxent Pkwy
Ste 800
Columbia, MD 21044

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1346637394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11917 REISTERSTOWN RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211363030",
            "telephone_number": "410-833-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11917 REISTERSTOWN RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211363030",
            "telephone_number": "410-833-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGAMEDURU",
        "first_name": "LINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R158706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reisterstown, MD

Sources for this page

Verify at the official NPI Registry.