Individual provider Active NPI

Jacqueline G Isola, CPNP

  • Pediatrics Physician
  • Lutherville, MD
National Provider Identifier
1396917506
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R090485 Issued in MD
Practice address
10807 Falls Rd
Suite 200
Lutherville, MD 21093-4591
Phone
(410) 321-9393
Fax
(410) 825-4945
NPI assigned
Mar 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X R090485 MD Primary

Addresses

Primary practice location

10807 Falls Rd
Suite 200
Lutherville, MD 21093-4591

Mailing address

10807 Falls Rd
Suite 200
Lutherville, MD 21093-4591
Phone (410) 321-9393

Other identifiers 1

IdentifierTypeStateIssuer
LL96MAOtherMDBLUE SHIELD OF MD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170328000479 MD Practitioner - Nurse Practitioner 9234414640 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University CurrentSince Jan 29, 2017 Accepting new patients
Johns Hopkins University CurrentSince Jan 29, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4940 Eastern Ave
Baltimore, MD 21224

600 N Wolfe St
Baltimore, MD 21287

Interoperability endpoints

  • Direct secure messaging: jisola378472@direct.hopkinsmedicine.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285891200000",
    "number": "1396917506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10807 FALLS RD",
            "address_2": "SUITE 200",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934591",
            "telephone_number": "410-321-9393",
            "fax_number": "410-825-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10807 FALLS RD",
            "address_2": "SUITE 200",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934591",
            "telephone_number": "410-321-9393",
            "fax_number": "410-825-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISOLA",
        "first_name": "JACQUELINE",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2010-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "R090485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF MD",
            "identifier": "LL96MA",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.