Active NPI
Mary Ellen Kokoska, M.S.N., R.N.
- School Registered Nurse
- Baltimore, MD
National Provider Identifier
1386017101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- R099954
- Practice address
- 3825 Greenspring Ave
Baltimore, MD 21211-1310 - Phone
- (443) 923-7878
- Fax
- (443) 836-0080
- NPI assigned
- Nov 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | R099954 | MD | Primary |
Addresses
Primary practice location
3825 Greenspring Ave
Baltimore, MD 21211-1310
Mailing address
3825 Greenspring Ave
Baltimore, MD 21211-1310
Phone (443) 923-7878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R099954 | MD | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446422400000",
"number": "1386017101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3825 GREENSPRING AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212111310",
"telephone_number": "443-923-7878",
"fax_number": "443-836-0080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3825 GREENSPRING AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212111310",
"telephone_number": "443-923-7878",
"fax_number": "443-836-0080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOKOSKA",
"first_name": "MARY ELLEN",
"name_prefix": "Mrs.",
"credential": "M.S.N., R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-02",
"last_updated": "2015-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "MD",
"license": "R099954",
"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 Nov 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.