Individual provider Active NPI

Margaret Gatlin Smith, MS, CRNP

  • Primary Care Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1386671113
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
R080626 Issued in MD
Practice address
12730 Twinbrook Pkwy
Rockville, MD 20852-1748
Phone
(301) 770-4444
Fax
(301) 770-0538
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X R080626 MD
Primary Care Nurse Practitioner 363LP2300X R080626 MD Primary
Adult Health Nurse Practitioner 363LA2200X R080626 MD

Addresses

Primary practice location

12730 Twinbrook Pkwy
Rockville, MD 20852-1748

Mailing address

12730 Twinbrook Pkwy
Rockville, MD 20852-1748
Phone (301) 770-4444

Other identifiers 2

IdentifierTypeStateIssuer
1488-0014OtherDCAND GLOBAL. BCBS
K333-HE 636690-01OtherMDBCBS MARYLAND

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)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R080626MDMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269993600000",
    "number": "1386671113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12730 TWINBROOK PKWY",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521748",
            "telephone_number": "301-770-4444",
            "fax_number": "301-770-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12730 TWINBROOK PKWY",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521748",
            "telephone_number": "301-770-4444",
            "fax_number": "301-770-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARGARET",
        "middle_name": "GATLIN",
        "credential": "MS, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2010-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R080626",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R080626",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R080626",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AND GLOBAL.  BCBS",
            "identifier": "1488-0014",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MARYLAND",
            "identifier": "K333-HE  636690-01",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.