Kermit Midthun, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R135790 Issued in MD

Practice address

4705 Harpers Ferry Rd
Sharpsburg, MD 21782-1608

Phone

(240) 527-8118

NPI assigned

Mar 24, 2009

Last updated

Mar 24, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237852800000",
    "number": "1376785279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 HARPERS FERRY RD",
            "city": "SHARPSBURG",
            "state": "MD",
            "postal_code": "217821608",
            "telephone_number": "240-527-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 HARPERS FERRY RD",
            "city": "SHARPSBURG",
            "state": "MD",
            "postal_code": "217821608",
            "telephone_number": "240-527-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDTHUN",
        "first_name": "KERMIT",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-24",
        "last_updated": "2009-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R135790",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "667261",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Marie Crampton, LCPC
• Gary Lee Haas, RPH
• Hose Pharmacies Inc (Sharpsburg Pharmacy)
• Hose Pharmacies, Inc. (Sharpsburg Pharmacy)
• Brian Matthew Hose, PHARMD
• Michaela Lee Mumpower
• John Rachal II, RPH
• Lisamarie Vivian Schultz, RPH
• Sharpsburg Area Emergency Medical Service Inc
• Sharpsburg Area Emergency Medical Service Inc

• Registered Nurse in Sharpsburg, MD
• Providers in Sharpsburg, MD by specialty
• Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.