Active NPI
Emerald Spring Clinics
- Primary Care Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1356000947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- EMERALD SPRING CLINICS
- Practice address
- 405 N Paca St FL 1
Baltimore, MD 21201-1815 - Phone
- (410) 779-9609
- Fax
- (443) 552-4758
- NPI assigned
- Dec 11, 2021
- Last updated
- Mar 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ebere Nduka, CRNP
- Title
- Family Nurse Practitioner (FNP)
- Phone
- (410) 660-9262
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
405 N Paca St FL 1
Baltimore, MD 21201-1815
Mailing address
48 Winters LN
Catonsville, MD 21228-4437
Phone (410) 660-9262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
48 Winters Ln
Catonsville, MD 21228
Phone (410) 660-9262
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": "1639180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709856000000",
"number": "1356000947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 WINTERS LN",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212284437",
"telephone_number": "410-660-9262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 N PACA ST FL 1",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011815",
"telephone_number": "410-779-9609",
"fax_number": "443-552-4758"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMERALD SPRING CLINICS",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-11",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A",
"authorized_official_last_name": "NDUKA",
"authorized_official_first_name": "EBERE",
"authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER (FNP)",
"authorized_official_telephone_number": "410-660-9262",
"authorized_official_credential": "CRNP"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.