Individual provider Active NPI

Lauren Corsiglia, CRNP

  • Adult Health Nurse Practitioner
  • Glen Burnie, MD
National Provider Identifier
1356700215
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R186854 Issued in MD
Practice address
1406B Crain Hwy S
Glen Burnie, MD 21061-4099
Phone
(410) 590-4617
NPI assigned
Feb 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R186854 MD Primary

Addresses

Primary practice location

1406B Crain Hwy S
Glen Burnie, MD 21061-4099

Mailing address

514 Parkland Rd
Eldersburg, MD 21784-8686

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
I20161019000048 MD Practitioner - Nurse Practitioner 8426346727 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R186854MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Community Physicians Inc CurrentSince May 1, 2017 Accepting new patients
Lifebridge Community Physicians, Inc CurrentSince May 1, 2017 Accepting new patients
Lifebridge Community Physicians, Inc Current Accepting new patients
Mid Atlantic Internal Medicine CurrentSince Aug 2, 2016 Accepting new patients
Health Releaf LLC Past Accepting new patients
Mid-Atlantic Neurology Consultants Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1406B Crain Hwy S
Ste 304
Glen Burnie, MD 21061
Phone (301) 804-0344

8021 Ritchie Hwy
Pasadena, MD 21122
Phone (410) 590-4616

6190 Georgetown Blvd
Sykesville, MD 21784
Phone (410) 552-4235

410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1356700215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 PARKLAND RD",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217848686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406B CRAIN HWY S",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614099",
            "telephone_number": "410-590-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORSIGLIA",
        "first_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-19",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R186854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.