Individual provider Active NPI

Rebecca Sutula, C.R.N.P.

  • Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1396770293
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R145356 Issued in MD
Practice address
Gilchrist Center
6601 North Charles Street
Baltimore, MD 21204-6810
Phone
(443) 849-8325
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R145356 MD Primary

Addresses

Primary practice location

Gilchrist Center
6601 North Charles Street
Baltimore, MD 21204-6810

Mailing address

6305 Sunhigh PL
Columbia, MD 21045-4471

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
Certified Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396770293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 SUNHIGH PL",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210454471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GILCHRIST CENTER",
            "address_2": "6601 NORTH CHARLES STREET",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046810",
            "telephone_number": "443-849-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTULA",
        "first_name": "REBECCA",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R145356",
            "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 Jul 8, 2007; 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.