NPIMap

Organization Active NPI

Tuerk House Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1417573270
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
TUERK HOUSE INC
Practice address
730 N Ashburton St
Baltimore, MD 21216-4703
Phone
(667) 212-3626
NPI assigned
Jun 17, 2020
Last updated
Jun 17, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
TUERK HOUSE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Authorized official

Name
Vanessa Lyle
Title
Billing and Credential Specialist
Phone
(667) 212-3626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

730 N Ashburton St
Baltimore, MD 21216-4703

Mailing address

730 N Ashburton St
Baltimore, MD 21216-4703

Other identifiers 1

IdentifierTypeStateIssuer
423034500MedicaidMD

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL Otherurl
Other URL Otherurl
Other URL Otherurl

National Provider Directory

National Provider Directory
Tax ID family
Tuerk House Inc33 organizations share this tax ID, including this one
Part of
Tuerk House Inc

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1417573270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N ASHBURTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212164703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N ASHBURTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212164703",
            "telephone_number": "667-212-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUERK HOUSE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TUERK HOUSE INC",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "LYLE",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "BILLING AND CREDENTIAL SPECIALIST",
        "authorized_official_telephone_number": "667-212-3626"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "423034500",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Otherurl",
            "affiliation": "N",
            "address_1": "730 N Ashburton St",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212164703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Otherurl",
            "affiliation": "N",
            "address_1": "730 N Ashburton St",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212164703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Otherurl",
            "affiliation": "N",
            "address_1": "730 N Ashburton St",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212164703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 17, 2020; 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.