Organization Active NPI

Smarttrchnexus Foundation

  • Community Health Clinic/Center
  • Baltimore, MD
National Provider Identifier
1346815347
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
SMARTTRCHNEXUS FOUNDATION
Practice address
1712 Eutaw PL
Baltimore, MD 21217-3730
Phone
(202) 340-6498
NPI assigned
May 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Authorized official

Name
Adrian R. Gardner, MS, MPA
Title
Founder and Chief Executive Officer
Phone
(202) 340-6498

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

1712 Eutaw PL
Baltimore, MD 21217-3730

Mailing address

1712 Eutaw PL
Baltimore, MD 21217-3730
Phone (202) 340-6498

Other names 1

  • The SmarTech Nexus Foundation Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1346815347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 EUTAW PL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212173730",
            "telephone_number": "202-340-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 EUTAW PL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212173730",
            "telephone_number": "202-340-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMARTTRCHNEXUS FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "FOUNDER AND CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "202-340-6498",
        "authorized_official_credential": "MS, MPA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The SmarTech Nexus Foundation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 21, 2021; 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.