Active NPI
Catherine Marie Reilly, RN, FCPI
- Health Educator
- Crofton, MD
National Provider Identifier
1386982486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- RO54423
- Practice address
- 1749 Urby Dr
Crofton, MD 21114-2330 - Phone
- (410) 852-2089
- NPI assigned
- Jan 24, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | RO54423 | MD | Primary |
Addresses
Primary practice location
1749 Urby Dr
Crofton, MD 21114-2330
Mailing address
1749 Urby Dr
Crofton, MD 21114-2330
Phone (410) 852-2089
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RO54423 | MD | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358985600000",
"number": "1386982486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1749 URBY DR",
"city": "CROFTON",
"state": "MD",
"postal_code": "211142330",
"telephone_number": "410-852-2089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1749 URBY DR",
"city": "CROFTON",
"state": "MD",
"postal_code": "211142330",
"telephone_number": "410-852-2089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILLY",
"first_name": "CATHERINE",
"middle_name": "MARIE",
"credential": "RN, FCPI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-24",
"last_updated": "2013-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "MD",
"license": "RO54423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crofton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.