Mia C Talley

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Practice address

12 Medstar Blvd Ste 325
Bel Air, MD 21015-1817

Phone

(410) 877-8078

NPI assigned

Jun 6, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1417798927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WHITE PINE LN",
            "city": "JOPPA",
            "state": "MD",
            "postal_code": "210854346",
            "telephone_number": "240-858-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MEDSTAR BLVD STE 325",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210151817",
            "telephone_number": "410-877-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "MIA",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandor Szollos, PH.D.
• Jeffrey Michael Szramka, CRNA
• Natalie Szumel, LCPC
• Sharlyn R Tabernero, PHARM.D.
• Kristie April Talley, CRNP
• Katherine Talson, CRNP
• Erin Rae Tancemore, LCSW-C
• James W Taneyhill, DDS
• Jennifer Anne Tangires
• Lelia Anne Tankersley, L.C.S.W.-C.

• Student Health Clinic/Center in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Student Health Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.